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Carlene Porter, APN
Nurse Practitioner in Warrenville, Illinois
NPI 1003877630

Carlene Porter is a Nurse Practitioner based in Warrenville, IL. Carlene Porter practices in Warrenville, IL and has the professional credentials of APN. The NPI Number for Carlene Porter is 1003877630 and holds a License No. 209-001548 (Illinois).

The current practice location address for Carlene Porter is 4405 Weaver Pkwy, Warrenville, IL and can be reached out via phone at 630-352-5300 and via fax at 630-352-5499.

Location: 4405 Weaver Pkwy, Warrenville, IL, 60555-3269
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003877630
Provider Name
Carlene Porter
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
4405 Weaver Pkwy, Warrenville, IL, 60555-3269
Phone Number
630-352-5300
Fax Number
630-352-5499
Provider Enumeration Date
03/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
206147104 01 IL MEDICARE PTAN (INDIVIDUAL)
CA4748 01 IL RAILROAD MEDICARE PTAN (GROUP)
206147 01 IL MEDICARE PTAN (GROUP)
P01090259 01 IL RAILROAD MEDICARE PTAN (INDIVIDUAL)
institution
Provider Business Practice Location Address Details
Address
4405 Weaver Pkwy
City
Warrenville
State
Illinois
Zip
60555-3269
Phone Number
630-352-5300
Fax Number
630-352-5499
person
Provider Business Mailing Address Details
Address
4405 Weaver Pkwy
City
Warrenville
State
Illinois
Zip
60555-3269
Phone Number
630-352-5300
Fax Number
630-352-5499
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
209-001548 (Illinois)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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