MOLLY PORTER FNP- BC NPI 1700285517

NPI Information

NPI: 1700285517
Provider Name: MOLLY PORTER, FNP- BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
1010 OLD DES PERES RD
DES PERES, MO
ZIP 63131
Phone: (314) 729-0077
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Molly Porter, FNP- BC is a family nurse practitioner in Des Peres, MO. Molly Porter, FNP- BC NPI is 1700285517. 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:

1010 OLD DES PERES RD
DES PERES, MO
ZIP 63131-865
Phone: (314) 729-0077
Fax: (314) 822-5493

The enumeration date for this NPI number is 8/18/2014 and was last updated on 8/23/2017.

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	2014028448	MISSOURI	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: 5/5/2024

NPI Synchronization or Removal

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