Individual
POLLYANNA HENZMAN STRUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
5742P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000649895
BC BS OF KY
KY
01
—
3763617000
PASSPORT ADVANTAGE
KY
01
—
50027266
PASSPORT
KY
05
—
7100065440
—
KY
01
—
P00810967
RR MEDICARE
KY
Enumeration date
08/27/2008
Last updated
03/05/2021
Update your record
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