Provider Demographics
NPI:1871766337
Name:PORTER, MELISSA CATHERINE (RN,BSN)
Entity type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:CATHERINE
Last Name:PORTER
Suffix:
Gender:F
Credentials:RN,BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2330 GARRISON DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-2268
Mailing Address - Country:US
Mailing Address - Phone:513-931-3134
Mailing Address - Fax:
Practice Address - Street 1:2330 GARRISON DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-2268
Practice Address - Country:US
Practice Address - Phone:513-931-3134
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-04
Last Update Date:2008-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 324356163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency