Individual
KATIE POLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
100 TRAVIS DRIVE, MINERAL WELLS, TX 76067
(817) 579-4400
Mailing address
2101 W PEARL ST, GRANBURY, TX 76048-1894
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1001418
TX
Other
Enumeration date
09/23/2025
Last updated
10/02/2025
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