Physicians Assistant Joe Porche, PA Joe Porche is a licensed physician assistant with many years of orthopedic experience working in a busy practice even before joining Dr. Waring at The Pain Intervention Center. For the past several years, Dr. Waring and Joe have worked closely to provide the best in pain care, evaluation, and education. Together they have applied innovative non-narcotic, medical solutions to help patients find solutions to pain problems. Nursing Staff and Support Holly Dupaquier RN Chrisie Kelleher RN Denise LaCava RN Becky Marziale RN Wendy Narvo RN Geneva McCloud Nursing Assistant Shannon Barrios Clinical Nurse Specialist Judy Barrios Clinical Specialist Our nursing staff consists of all registered nurses (RNs), many with years of intensive care and recovery room experience. Our nurses take meticulous care of our patients from arrival through discharge. In addition, they are a great wealth of information about practical management of a variety of painful conditions. Reception / Insurance Administrators Natasha Taylor Front Desk Assistant Hollie Wilson Attorney Liaison Our front desk reception staff and insurance administrators are trained to answer any questions a patient may have, including information on consultations, procedures, and payment processes.