Provider Demographics
NPI:1194520338
Name:PORZADEK, ADRIANNA NICHOLE
Entity type:Individual
Prefix:
First Name:ADRIANNA
Middle Name:NICHOLE
Last Name:PORZADEK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7458 CHICKADEE DR
Mailing Address - Street 2:
Mailing Address - City:SILSBEE
Mailing Address - State:TX
Mailing Address - Zip Code:77656-8452
Mailing Address - Country:US
Mailing Address - Phone:409-926-1827
Mailing Address - Fax:
Practice Address - Street 1:7458 CHICKADEE DR
Practice Address - Street 2:
Practice Address - City:SILSBEE
Practice Address - State:TX
Practice Address - Zip Code:77656-8452
Practice Address - Country:US
Practice Address - Phone:409-926-1827
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-13
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer