Individual
MAUREEN STANEK POLAKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP, DNP
Contact information
Practice address
4835 LBJ FWY STE 900, DALLAS, TX 75244-6001
(844) 941-3087
Mailing address
1517 HEARTHSTONE DR, PLANO, TX 75023-7408
(570) 854-5102
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1116044
TX
363L00000X
Nurse Practitioner
VP004369B
PA
363LF0000X
Family Nurse Practitioner
VP004369B
PA
Other
Enumeration date
05/23/2005
Last updated
02/27/2024
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