Individual
MS. SUZANN L POLK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
2940 SOMERSET DR, PRESCOTT, AZ 86305-5006
(928) 541-9024
Mailing address
2940 SOMERSET DR, PRESCOTT, AZ 86305-5006
(928) 541-9024
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
RN044136/APO199
AZ
363LG0600X
Gerontology Nurse Practitioner
Primary
RN044136/APO199
AZ
Other
Enumeration date
09/25/2006
Last updated
03/30/2016
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