Healthcare Provider Details

I. General information

NPI: 1033175013
Provider Name (Legal Business Name): MARI FRANCES POHLHAUS RNC, MSN, NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 02/07/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 JOHN PAUL JONES CIRCLE, SUITE #1100 NAVY ENVIRONMENTAL HEALTH CENTER, OCC & ENV MEDICINE
PORTSMOUTH VA
23708-2103
US

IV. Provider business mailing address

548 MOWBRAY ARCH
NORFOLK VA
23507-2130
US

V. Phone/Fax

Practice location:
  • Phone: 757-953-0785
  • Fax: 757-953-0670
Mailing address:
  • Phone: 757-627-4031
  • Fax: 757-953-0685

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number0001136390
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number0024136390
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: