Individual
JOANNE MARIE PORWOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
WALTER REED NATIONAL MILITARY, 8901 WISCONSIN AVE, BLDG 19, DECK 5, BETHESDA, MD 20889-0001
(301) 295-5165
(301) 295-5170
Mailing address
26 S GORDON ST, ALEXANDRIA, VA 22304-4930
(703) 521-2181
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN966468
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0355333 00
—
DC
Enumeration date
08/25/2006
Last updated
03/07/2023
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