Individual provider · Type 1 NPI

Mika Polly, FNP

Family Nurse Practitioner · Lubbock, TX

NPI number 1417326547 Active

Practice location

4642 N Loop 289, Ste 211
Lubbock, TX 79416-2425

Mailing address

4802 N Loop 289
Lubbock, TX 79416-3025

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAP129050 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1417326547

Mika Polly, FNP's National Provider Identifier is 1417326547, issued on Sep 18, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lubbock, TX. The record was last updated on Sep 8, 2017.