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NPI Code Detail

MEDICARE: MRS. ELIZABETH MICHELLE POLLACK FNP

MEDICARE:  MRS. ELIZABETH MICHELLE POLLACK  FNP
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
1363LF0000XFamily Nurse PractitionerAPN18438SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851712236
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ELIZABETH MICHELLE POLLACK FNP
Provider Business Mailing Address
First Line : 3901 SPICEWOOD SPRINGS RD
Second Line :
City : AUSTIN
State : TX
Zip : 78759
Country : US
Telephone Number : 737-226-6700
Fax Number :
Provider Business Practice Location Address
First Line : 1075 HEATHER GREEN DR.
Second Line :
City : COLUMBIA
State : SC
Zip : 29229
Country : US
Telephone Number : 737-226-6700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/02/2014
Last Update Date : 02/10/2021

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