Individual provider · Type 1 NPI
Lisa Ann Polk
Family Nurse Practitioner · Mount Royal, NJ
NPI number
1235714635
Active
Practice location
134 Evergreen Ct
Mount Royal, NJ 08061-1128
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 26NJ01117300 (NJ) |
Family Nurse Practitioner: Definition to come...
About NPI 1235714635
Lisa Ann Polk's National Provider Identifier is 1235714635, issued on Mar 17, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mount Royal, NJ. The record was last updated on Mar 17, 2021.