Provider Demographics
NPI:1154946853
Name:POHUTSKY, JOAN (DNP, APRN, NP-BC)
Entity type:Individual
Prefix:
First Name:JOAN
Middle Name:
Last Name:POHUTSKY
Suffix:
Gender:F
Credentials:DNP, APRN, NP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5530 WISCONSIN AVE STE 820
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-4401
Mailing Address - Country:US
Mailing Address - Phone:301-652-8081
Mailing Address - Fax:301-652-8627
Practice Address - Street 1:5530 WISCONSIN AVE STE 820
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-4401
Practice Address - Country:US
Practice Address - Phone:301-652-8081
Practice Address - Fax:301-652-8627
Is Sole Proprietor?:No
Enumeration Date:2020-06-09
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR212641363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD889085400Medicaid