Individual
RACHAEL MARIE POLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
405 W GRAND AVE, DAYTON, OH 45405-7538
(937) 723-3841
(937) 723-4209
Mailing address
1 PRESTIGE PL STE 550, MIAMISBURG, OH 45342-6115
(937) 762-1305
(937) 522-7513
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
856862
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN.CNP.0031107
OH
Other
Enumeration date
10/15/2019
Last updated
05/05/2022
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