Individual provider · Type 1 NPI

Rachael Marie Polak, ACNP

Gerontology Nurse Practitioner · Dayton, OH

NPI number 1346882974 Active

Practice location

405 W Grand Ave
Dayton, OH 45405-7538

Fax (937) 723-4209

Mailing address

1 Prestige Pl Ste 550
Miamisburg, OH 45342-6115

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100X856862 (TX)
Gerontology Nurse Practitioner Primary 363LG0600XAPRN.CNP.0031107 (OH)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1346882974

Rachael Marie Polak, ACNP's National Provider Identifier is 1346882974, issued on Oct 15, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Dayton, OH. The record was last updated on May 5, 2022.