Most Relevant Information
Provider Data
| NPI Number: | 1003254616 |
| Provider Name: | DEMETRIUS JAMES PORCHE RN, APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | AP02104 |
Most Important Dates
| Enumeration Date: | 06/06/2013 |
| Last Updated: | 06/06/2013 |
Provider Practice Location
1900 GRAVIER ST
NEW ORLEANS
LA
701122262
Practice Location Phone/Fax
| Phone: | 5045684106 |
| Fax: |
Provider Mailing Location
931 INDEPENDENCE ST
NEW ORLEANS
LA
701175737
Provider Mailing Phone/Fax
| Phone: | 5049480470 |
| Fax: |