Individual
TRACY POLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN25262
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2569860
—
OH
01
—
34145806900
OHIO WORKER COMPENSATION
OH
Enumeration date
03/04/2006
Last updated
07/13/2026
Update your record
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