BETHANY K PORTER NPI 1073161683

NPI Information

NPI: 1073161683
Provider Name: BETHANY K PORTER
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: ST. MARY'S MEDICAL MANAGEMENT, LLC

PECOS Registration: Yes

Address:
2900 1ST AVE STE 10
HUNTINGTON, WV
ZIP 25702
Phone: (304) 525-6825
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Bethany K Porter is a family nurse practitioner in Huntington, WV with 5 years of experience. Bethany K Porter NPI is 1073161683. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2900 1ST AVE STE 10
HUNTINGTON, WV
ZIP 25702-241
Phone: (304) 525-6825
Fax: (304) 525-0300

The NPI 1073161683 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/27/2019 and was last updated on 4/22/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	104192	WEST VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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