MRS. OPAL K PORRAS APRN CWON-AP CCCN NPI 1639237407

NPI Information

NPI: 1639237407
Provider Name: MRS. OPAL K PORRAS, APRN, CWON-AP, CCCN
Classification: Clinical Nurse Specialist - 364SM0705X
Entity Type: Individual

Specialization: Medical-Surgical

PECOS Registration: Yes

Address:
901 MACARTHUR BLVD
WOULD OSTOMY CLINIC
MUNSTER, IN
ZIP 46321
Phone: (219) 836-7713
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MRS. Opal K Porras, APRN, CWON-AP, CCCN is a medical-surgical clinical nurse specialist in Munster, IN. MRS. Opal K Porras, APRN, CWON-AP, CCCN NPI is 1639237407. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

901 MACARTHUR BLVD
WOULD OSTOMY CLINIC
MUNSTER, IN
ZIP 46321-901
Phone: (219) 836-7713
Fax: (219) 836-7058

The NPI 1639237407 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/5/2006 and was last updated on 12/24/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SM0705X	Clinical Nurse Specialist	Medical-Surgical	70000151A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	941410QQQQ	MEDICARE PIN	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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