Individual
BRIAN JOSEPH PORTANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
3458 NEELY RD, MC GUIRE AFB, NJ 08641-5312
(609) 754-9464
(609) 754-9133
Mailing address
3458 NEELY RD, MC GUIRE AFB, NJ 08641-5312
(609) 754-9464
(609) 754-9133
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00628000
NJ
363LF0000X
Family Nurse Practitioner
SP015756
PA
Other
Enumeration date
05/13/2016
Last updated
07/08/2026
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