Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 5586 | CO |
N | 111NN0400X | Neurology | 5586 | CO |
N | 111NN1001X | Nutrition | 5586 | CO |
N | 111NP0017X | Pediatric Chiropractor | 5586 | CO |
NPI | 1730406547 |
---|---|
Provider Name | Dr. Paola Porrone |
First Address | Parker, CO 80134-7307 |
Second Address | Parker, CO 80134-7307 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2010 |
Last Update Date | 03/05/2010 |