| Doctor Name: | MS. ANNE BAILEY PORTER |
| NPI Number: | 1043648280 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. |
| License Number: | 123160-30 |
| Business Practice Address: | W305n5737 Stevens Rd Hartland, WI - 530298727 |
| Business Phone Number: | 2626230973 |
| Business Fax Number: | |
| Mailing Address: | W305n5737 Stevens Rd, HARTLAND |
| State: | WI |
| Postal Code: | 530298727 |
| Phone Number: | 2626230973 |
| Fax Number: | |
| NPI Enumeration Date: | 10/25/2013 |
| NPI Last Update Date: | 10/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WH1000X |
| License Number: | 123160-30 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Hospice |
| Taxonomy Definition: | |