Individual
ANDREA POLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
308 W MARKET ST, CRAWFORDSVILLE, IN 47933-1632
(765) 362-6374
(765) 362-6375
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71006455A
IN
363LF0000X
Family Nurse Practitioner
Primary
71006455A
IN
Other
Enumeration date
08/12/2016
Last updated
07/05/2024
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