Provider Demographics
NPI:1275348237
Name:PORTERFIELD, ELISE MARIE (RD)
Entity type:Individual
Prefix:
First Name:ELISE
Middle Name:MARIE
Last Name:PORTERFIELD
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:ELISE
Other - Middle Name:MARIE
Other - Last Name:BARNHART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 543
Mailing Address - Street 2:
Mailing Address - City:PALMER
Mailing Address - State:AK
Mailing Address - Zip Code:99645-0543
Mailing Address - Country:US
Mailing Address - Phone:907-631-2662
Mailing Address - Fax:
Practice Address - Street 1:1137 S KATIE CIR
Practice Address - Street 2:
Practice Address - City:PALMER
Practice Address - State:AK
Practice Address - Zip Code:99645-9359
Practice Address - Country:US
Practice Address - Phone:907-631-2662
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-07
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered