NPI 1538440821

Theresa A. Porcarelli, RDMSRVTRDCS

Practitioner Sonography Radiologic Technologist Hayden, ID

Practice location

Address: 1076 W Hayden Ave, Hayden, ID 83835-8793
Phone: (208) 772-2823
Mailing address: 807 W Lakeshore Dr, Coeur D Alene, ID 83814-2131

Registered specialties

Sonography Radiologic Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 2471S1302X Licence 3082 (MD)

Other Radiologic Technologist providers in Idaho →

Registry record

NPI: 1538440821
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Aug 2011
Record last updated: 31 Aug 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.