IndividualActive
Lisa Porthouse, CNM
NPI 1750653697 · Advanced Practice Midwife · Saint Louis, MO
Provider details
- NPI number
- 1750653697
- Entity type
- Individual
- Primary specialty
- Advanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CNM
- Sex
- Female
- Sole proprietor
- Yes
- License
- 113826 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
621 S New Ballas Rd
Suite 2009 B
Saint Louis, MO 63141-8232
Phone: (314) 251-6000
Fax: (314) 251-4376
Approximate (ZIP-level) locationGet directions
Mailing address
621 S New Ballas Rd
Saint Louis, MO 63141-8232
Registry dates
- Enumerated
- 2012-02-08
- Last updated
- 2013-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.