LINDSEY RACHELLE PORTH FNP-BC PA NPI 1396365409

NPI Information

NPI: 1396365409
Provider Name: LINDSEY RACHELLE PORTH FNP-BC PA
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
6015 SUNSET BLVD
FORT PIERCE, FL
ZIP 34982
Phone: (772) 528-5565
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LINDSEY RACHELLE PORTH FNP-BC PA is a primary care clinic center in Fort Pierce, FL. LINDSEY RACHELLE PORTH FNP-BC PA NPI is 1396365409. The provider is registered as an organization entity type.

The provider's business location address is:

6015 SUNSET BLVD
FORT PIERCE, FL
ZIP 34982-608
Phone: (772) 528-5565
Fax: (772) 460-2317

The provider's authorized official is Lindsey Rachelle Porth .
The authorized official title is Owner/practitioner and has the following contact phone number (772) 528-5565.

The enumeration date for this NPI number is 4/17/2020 and was last updated on 7/2/2021.

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	261QP2300X	Clinic/Center	Primary Care			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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