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TASIA NADINE PORTER
Psychiatric/Mental Health >> Registered Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1922616275
Individual Registrant: TASIA NADINE PORTER
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
652 NE 121ST ST BISCAYNE PARK, FL 33161-5510 US
Tel: 240-416-5655 Fax: --
Tel: 240-416-5655 Fax: --
Contact information for business:
652 NE 121ST ST BISCAYNE PARK, FL 33161-5510 US
Tel: 240-416-5655 Fax: --
Tel: 240-416-5655 Fax: --
Registration Information:
NPI: 1922616275
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 163WP0808X | Nursing Service Providers Registered Nurse Psychiatric/Mental Health | FL | 9426206 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
