Individual provider · Type 1 NPI

Judith Polak, CNNP

Neonatal Nurse Practitioner · Morgantown, WV

NPI number 1356423867 Active

Practice location

1 Stadium Drive
Morgantown, WV 26506

Call (304) 598-4800 Map

Fax (304) 293-6963

Mailing address

PO Box 897
Morgantown, WV 26507-0897

Specialties and licenses

Taxonomy	Code	License
Neonatal Nurse Practitioner Primary	363LN0000X	29381 (WV)

Neonatal Nurse Practitioner: Definition to come...

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About NPI 1356423867

Judith Polak, CNNP's National Provider Identifier is 1356423867, issued on Oct 20, 2006. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in Morgantown, WV. The record was last updated on Jul 8, 2007.