Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 0024136390 | VA |
NPI | 1033175013 |
---|---|
Provider Name | Mrs. Mari Frances Pohlhaus |
First Address | Norfolk, VA 23507-2130 |
Second Address | Portsmouth, VA 23708-2103 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2006 |
Last Update Date | 07/02/2012 |