Individual provider · Type 1 NPI
Lisa Marie Polhamus, NNP
Neonatal Nurse Practitioner · St. Petersburg, FL
NPI number
1114188604
Active
Practice location
501 6th Ave S
St. Petersburg, FL 33701
Fax (727) 767-4391
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neonatal Nurse Practitioner Primary | 363LN0000X | ARNP9481675 (FL) |
Neonatal Nurse Practitioner: Definition to come...
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About NPI 1114188604
Lisa Marie Polhamus, NNP's National Provider Identifier is 1114188604, issued on Jun 18, 2008. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in St. Petersburg, FL. The record was last updated on Jun 20, 2018.