Misty Porter
Misty Porter is a Peer Specialist in Idaho Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2023.
- Licensed in
- ID
- In the registry since
- 2023
Practice location Address checks out
540 3rd StIdaho Falls, ID 83401-3953
Phone: (208) 524-5607
Fax: (208) 524-0636
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X (ID) |
|---|
Record details
| NPI number | 1235905274 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 30, 2023 |
| Last updated in NPPES | November 30, 2023 |
| Certification date | November 30, 2023 |
| Mailing address | 540 3rd St, Idaho Falls, ID 83401-3953 |
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