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NPI Code Detail

MEDICARE: HEATHER POLASKI APRN-CNP

MEDICARE: HEATHER POLASKI APRN-CNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner470287692MI
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN.CNP.17010OH

General Provider Information

NPI Number : 1053665372
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER POLASKI APRN-CNP
Provider Business Mailing Address
First Line : 905 NEBRASKA AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43607-4222
Country : US
Telephone Number : 419-841-7701
Fax Number : 419-255-4037
Provider Business Practice Location Address
First Line : 905 NEBRASKA AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43607-4222
Country : US
Telephone Number : 419-841-7701
Fax Number : 419-255-4037
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2012
Last Update Date : 08/16/2023

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Directions to “ HEATHER POLASKI APRN-CNP” Practice Location

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