Mrs Gwen Lee Porter, RN is a
Registered Nurse - Case Management based in Shadyside, Ohio. Mrs Gwen Lee Porter is licensed to practice in West Virginia (license number 20872) and her current practice location is
24 W 39th St, Shadyside, Ohio. She can be reached at her office (for appointments etc.) via phone at
(740) 676-1710.
NPI number for Mrs Gwen Lee Porter is 1699986661 and her current mailing address is 24 W 39th St, Shadyside, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699986661.
Provider's Profile
| Full Name | Mrs Gwen Lee Porter |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse - Case Management |
|---|
| Location | 24 W 39th St, Shadyside, Ohio |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1699986661
- Provider Enumeration Date: 05/24/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Gwen Lee Porter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1699986661 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163WC0400X | Registered Nurse - Case Management | 20872 (West Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Gwen Lee Porter is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mrs Gwen Lee Porter, RN 24 W 39th St, Shadyside, OH 43947-1106 Ph: (740) 676-1710 | Mrs Gwen Lee Porter, RN 24 W 39th St, Shadyside, OH 43947-1106 Ph: (740) 676-1710 |
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