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NPI Code Detail

MEDICARE: MRS. NANCY J.M. POLIN MSN, CRNP

MEDICARE: MRS. NANCY J.M. POLIN MSN, CRNP
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
1363LA2200XAdult Health Nurse PractitionerVP002007CPA

General Provider Information

NPI Number : 1588657738
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NANCY J.M. POLIN MSN, CRNP
Provider Business Mailing Address
First Line : 322 WINDY RUN RD
Second Line :
City : DOYLESTOWN
State : PA
Zip : 18901-2373
Country : US
Telephone Number : 215-489-0538
Fax Number : 215-489-0538
Provider Business Practice Location Address
First Line : 345 N YORK RD
Second Line :
City : HATBORO
State : PA
Zip : 19040-2045
Country : US
Telephone Number : 215-675-1516
Fax Number : 215-675-9176
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2005
Last Update Date : 07/08/2007

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