Healthcare Provider Details

I. General information

NPI: 1396898631
Provider Name (Legal Business Name): GAIL ELIZABETH POLLI APRN,PC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/19/2007
Last Update Date: 03/29/2022
Certification Date: 03/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 WASHINGTON ST
TAUNTON MA
02780-3960
US

IV. Provider business mailing address

1 WASHINGTON ST STE 140
TAUNTON MA
02780-3960
US

V. Phone/Fax

Practice location:
  • Phone: 617-376-3000
  • Fax:
Mailing address:
  • Phone: 617-376-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License Number146723
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: