Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carla Portillo-Medrano, NP

Individual provider Family Nurse Practitioner · NPI 1124610654

Carla Portillo-Medrano, NP is a Family Nurse Practitioner in Detroit, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2021
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

5635 W Fort St
Detroit, MI 48209-3154
Phone: (734) 968-2566
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704324069 (MI)
Registered Nurse Taxonomy 163W00000X · Licence 4704324069 (MI)

Record details

NPI number1124610654
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedFebruary 5, 2021
Last updated in NPPESApril 24, 2025
Certification dateApril 24, 2025

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