Search › New Jersey › 363LF0000X
Brian Portanova, FNP-BC
NPI 1336595800 · on the registry since 2016
Practice
- Address
- 3458 Neely Rd
Mc Guire Afb, NJ 08641 - Phone
- (609) 754-9464
- Fax
- (609) 754-9133
- Organisation at this address
- 87th Medgrp-Jb Mcguire-Dix-Lakehurst
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 31
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363LF0000X
- Licence states on file
- NJ, PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey