Individual
MRS. GWENDOLYN MICHELLE POLEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
201 SIVLEY RD SW, SUITE 500, HUNTSVILLE, AL 35801-5134
(256) 265-3880
Mailing address
2204 FOREST CHAPEL CIR NE, HUNTSVILLE, AL 35811-2631
(256) 975-2862
(256) 539-7658
Taxonomy
Speciality
Code
Description
License number
State
364SA2100X
Acute Care Clinical Nurse Specialist
Primary
1-061075
AL
Other
Enumeration date
04/27/2012
Last updated
04/27/2012
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