Mary Margaret Porter, APRN,CFNP
Individual provider Active NPI Family Nurse Practitioner · MC Dowell, KY
NPI 1174546758 · NPPES record last updated Jul 19, 2011
Key facts
- NPI
- 1174546758
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 2505P (KY)
- Practice address
- 9879 Ky RT 122
MC Dowell, KY 41647-0247 - Phone
- (606) 377-3427
- Fax
- (606) 377-3492
- NPI assigned
- Jul 25, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1043721 | KY | MD | Family Nurse Practitioner |
| 2505P | KY | MD | Family Nurse Practitioner |
| 285898-22 | KY | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1043721 | KY | |
| Family Nurse Practitioner | 363LF0000X | 2505P | KY | Yes |
| Family Nurse Practitioner | 363LF0000X | 285898-22 | KY |
Addresses
Primary practice location
9879 Ky RT 122
MC Dowell, KY 41647-0247
Mailing address
PO Box 247
9879 Kentucky Route 122
MC Dowell, KY 41647-0247
Phone (606) 377-3427
Other providers in MC Dowell, KY
- Jonathan Lyons
- Mary Hall MD Francisco Rivera MD and Associates PSC
- McDowell Appalachian Regional Hospital
- McDowell Professional Pharmacy Inc.
- McDowell Professional Pharmacy Inc.
- Ira Blaine Potter
- Catrina Ray
- Francisco Gozum Rivera
- Marina Allen Shepherd
- Sisters Purpose Behavioral Health Clinic
All providers in MC Dowell, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.