BRANDIE L PORTER APRN CNM FNP NPI 1215918289

NPI Information

NPI: 1215918289
Provider Name: BRANDIE L PORTER, APRN, CNM, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
12 MAIN ST
SWANZEY, NH
ZIP 03446
Phone: (317) 809-2391
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Brandie L Porter, APRN, CNM, FNP is a family nurse practitioner in Swanzey, NH with 3 years of experience. Brandie L Porter, APRN, CNM, FNP NPI is 1215918289. 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:

12 MAIN ST
SWANZEY, NH
ZIP 03446-012
Phone: (317) 809-2391

The NPI 1215918289 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 11/8/2005 and was last updated on 11/3/2023.

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	367A00000X	Advanced Practice Midwife		048205-23	NEW HAMPSHIRE	No
2	363LF0000X	Nurse Practitioner	Family	048205-23	NEW HAMPSHIRE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	3099804	MEDICAID	NEW HAMPSHIRE
2	200335640	MEDICAID	INDIANA
3	1024318	MEDICAID	VERMONT

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: 4/28/2024

NPI Synchronization or Removal

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