Individual
SANDRA ANN POLACHEK
Active
Individual
SANDRA ANN POLACHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2005011210
MO
363LF0000X
Family Nurse Practitioner
Primary
2011008776
MO
Other
Enumeration date
03/30/2011
Last updated
04/04/2025
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