| NPI | 1740536176 |
|---|---|
| Former Name | DONNA MELLON PORTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN151512) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0990548-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 8136) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN151512) | |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2024-11-18 |