Individual
MRS. ANGELA JEAN POLTRACK
Active
Individual
MRS. ANGELA JEAN POLTRACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
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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