Individual
ANDREA NICOLE POLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
US HIGHWAY 56 & 270 JUNCTION, BARKING WATER ROAD, WEWOKA, OK 74884-1475
(405) 257-6282
(405) 257-3344
Mailing address
P.O. BOX 1475, BARKING WATER ROAD, WEWOKA, OK 74884-1475
(405) 257-6282
(405) 257-3344
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
0084059
OK
163WG0000X
General Practice Registered Nurse
0084059
OK
163WW0000X
Wound Care Registered Nurse
0084059
OK
Other
Enumeration date
11/01/2010
Last updated
11/01/2010
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