Provider Type Icon

NICKOLAOS THOMAS PORTARITIS R.N. NPI 1750649067


NPI Information

NPI: 1750649067
Provider Name: NICKOLAOS THOMAS PORTARITIS, R.N.
Classification: Registered Nurse - 163WC0200X
Entity Type: Individual

Specialization: Critical Care Medicine

Address:
5001 HARDY ST
HATTIESBURG, MS
ZIP 39402
Phone: (601) 268-8000
Get Directions

Nickolaos Thomas Portaritis, R.N. is a critical care medicine registered nurse in Hattiesburg, MS. Nickolaos Thomas Portaritis, R.N. NPI is 1750649067. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5001 HARDY ST
HATTIESBURG, MS
ZIP 39402-308
Phone: (601) 268-8000

The enumeration date for this NPI number is 4/25/2012 and was last updated on 4/25/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163WC0200XRegistered NurseCritical Care MedicineR873027MISSISSIPPIYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.