Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KRISTIN RAE PORTER
Active Sole ProprietorKRISTIN RAE PORTER is a Obstetrics & Gynecology Nurse Practitioner healthcare provider located in BOWIE, Maryland. NPI 1366053217 is currently active in the NPPES registry. Verify at CMS.
Obstetrics & Gynecology Nurse Practitioner · BOWIE, MD
Registration Details
- NPI Number
- 1366053217
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 13, 2020 (6.0480330472368 yrs)
- Last Updated
- May 17, 2021
- Licenses
-
R178637 (MD)R178637 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3060 MITCHELLVILLE RD STE 210BOWIE, MD, 207163969Browse MD providers · Browse ZIP 20716
- Phone
- 4102451563
- Primary Specialty
-
Obstetrics & Gynecology Nurse Practitioner
363LX0001X
- Additional Specialty
- Obstetrics & Gynecology Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.