Individual
MS. MARY KAREN PORTERFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CFNP
Contact information
Practice address
1930 BRAEBURN CIR, SALEM, VA 24153-7388
(540) 772-4540
(540) 772-6805
Mailing address
189 THORNEY HOLLOW RD, NEW CASTLE, VA 24127-7871
(540) 772-4540
(540) 772-6805
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024164720
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10163382
—
VA
Enumeration date
01/23/2006
Last updated
10/06/2018
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