Susan L Porter, RN
Individual provider Active NPI Registered Nurse · Preston, CT
NPI 1295044915 · NPPES record last updated Sep 29, 2010
Key facts
- NPI
- 1295044915
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 072997 (CT)
- Practice address
- 289 Miller Rd
Preston, CT 06365-8533 - Phone
- (860) 887-9195
- NPI assigned
- Sep 29, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 072997 | CT | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 072997 | CT | Yes |
Addresses
Primary practice location
289 Miller Rd
Preston, CT 06365-8533
Mailing address
289 Miller Rd
Preston, CT 06365-8533
Phone (860) 887-9195
Other providers in Preston, CT
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- Nemeth Speech & Language, LLC
- Andrew Nemeth
- Poquetanuck Volunteer Fire Department Inc
- Preston Public Schools
- Tracy L Rosiene
- Summit Counseling LLC
- Town of Preston
- Carolyn Ann Trasko
All providers in Preston, CT · Registered Nurse in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2010. 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.