Individual
ANN POLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2000 W BALTIMORE ST, ST FRANCIS OUTPATIENT CENTER, BALTIMORE, MD 21223-1558
(410) 362-3077
Mailing address
4 SPARKS STATION RD, SPARKS, MD 21152-9313
(410) 456-6997
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R039585
MD
Other
Enumeration date
03/31/2014
Last updated
04/14/2016
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