Individual
MRS. ANGELA JEAN POLTRACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1800 ORLEANS ST, JOHNS HOPKINS HOSPITAL - CVSICU, BALTIMORE, MD 21287-0010
(410) 955-4826
(410) 955-8460
Mailing address
1800 ORLEANS ST, JOHNS HOPKINS HOSPITAL - CVSICU, BALTIMORE, MD 21287-0010
(410) 955-4826
(410) 955-8460
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R139099
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2012002325
ANCC
—
01
—
R139099
MARYLAND BOARD OF NURSING - CRNP-ACUTE CARE
MD
Enumeration date
04/24/2012
Last updated
04/24/2012
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