Individual provider · Type 1 NPI

Polina Makedonsky, NP-C

Nurse Practitioner · San Diego, CA

NPI number 1396106399 Active

Practice location

4077 Fifth Ave
San Diego, CA 92103-2105

Mailing address

6454 Panel Ct
San Diego, CA 92122-3007

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X95004009 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1396106399

Polina Makedonsky, NP-C's National Provider Identifier is 1396106399, issued on Mar 18, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in San Diego, CA. The record was last updated on Dec 3, 2021.