Individual
DAWN MICHELE POLETAEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
314 E MAIN ST STE 103, NEWARK, DE 19711-7180
(302) 366-0550
Mailing address
314 E MAIN ST STE 103, NEWARK, DE 19711-7180
(302) 366-0550
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
LG-0001289
DE
Other
Enumeration date
07/24/2019
Last updated
07/24/2019
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