Marian Rae Porter in Fergus Falls - Licensed Practical Nurse

Marian Rae Porter - NPI 1629282579

Marian Rae Porter is a Licensed Practical Nurse in Fergus Falls, Minnesota. Marian Rae Porter practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Marian Rae Porter is 1629282579. The last update date is 2007-07-08.

Marian Rae Porter's current location address is 106 North 4th Avenue, Fergus Falls, Minnesota. You can contact this provider via phone number 2189983778 and fax number 2189983187. The mailing address for Marian Rae Porter is 106 North 4th Avenue, Fergus Falls, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Marian Rae Porter
Address 106 North 4th Avenue, Fergus Falls, Minnesota
Phone Number 2189983778
Fax Number 2189983187
Sole Proprietor N
Credentials LPN

NPI Number Detail

NPI Number 1629282579
Provider Enumeration Date 2007-05-10
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 106 North 4th Avenue
City Fergus Falls
State Minnesota (MN)
Post Code 565371034
Phone Number 2189983778
Fax Number 2189983187

Provider's Primary Taxonomy Detail

Speciality Licensed Practical Nurse
Taxonomy 164W00000X
Licence No L0545675
Definition:
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r

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FAQs about Marian Rae Porter

What is the unique identifier code issued to Marian Rae Porter by the Centers for Medicare & Medicaid Services (CMS)?

The Marian Rae Porter has been assigned the NPI (National Provider Identifier) 1629282579. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Marian Rae Porter?

The Marian Rae Porter is physically situated at 106 North 4Th Avenue, in the city of Fergus Falls, state of MN, with the postal code 565371034.

What is the Marian Rae Porter's specialty and taxonomy code?

The Marian Rae Porter's specialty is Licensed Practical Nurse, and the corresponding taxonomy code is 164W00000X.

On what date did Marian Rae Porter receive its 1629282579 assignment from the Centers for Medicare & Medicaid Services?

The Marian Rae Porter was assigned its 1629282579 on 2007-05-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Marian Rae Porter most recently updated or revised?

The details related to Marian Rae Porter, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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