Individual provider · Type 1 NPI
Brian Joseph Portanova, FNP-BC
Family Nurse Practitioner · Mc Guire Afb, NJ
NPI number
1336595800
Active
Practice location
3458 Neely Rd
Mc Guire Afb, NJ 08641-5312
Fax (609) 754-9133
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 26NJ00628000 (NJ) |
| Family Nurse Practitioner | 363LF0000X | SP015756 (PA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1336595800
Brian Joseph Portanova, FNP-BC's National Provider Identifier is 1336595800, issued on May 13, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mc Guire Afb, NJ. The record was last updated on Jul 8, 2026.