Individual
JOANN MARIE POOLE
Active
Individual
JOANN MARIE POOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHNP
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
0024170055
VA
363LW0102X
Women's Health Nurse Practitioner
Primary
0001222851
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093071961
NPI
MN
Enumeration date
04/05/2012
Last updated
10/16/2020
Update your record
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