Basic Information
| Provider Information | |||||||||
| NPI: | 1588657738 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | POLIN | ||||||||
| FirstName: | NANCY | ||||||||
| MiddleName: | J.M. | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | MSN, CRNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 322 WINDY RUN RD | ||||||||
| Address2: | |||||||||
| City: | DOYLESTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 189012373 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2154890538 | ||||||||
| FaxNumber: | 2154890538 | ||||||||
| Practice Location | |||||||||
| Address1: | 345 N YORK RD | ||||||||
| Address2: | |||||||||
| City: | HATBORO | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190402045 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2156751516 | ||||||||
| FaxNumber: | 2156759176 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/23/2005 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LA2200X | VP002007C | PA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Adult Health |
No ID Information.