Individual provider · Type 1 NPI
Casey Deanne Polk, APRN, AGACNP-BC
Gerontology Nurse Practitioner · Dallas, TX
NPI number
1467235069
Active
Practice location
5323 Harry Hines Blvd Stop 7200
Dallas, TX 75390-7200
Mailing address
7032 Cedar Creek Dr
Grand Prairie, TX 75052-1371
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 1131805 (TX) |
| Acute Care Nurse Practitioner | 363LA2100X | 1131805 (TX) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1467235069
Casey Deanne Polk, APRN, AGACNP-BC's National Provider Identifier is 1467235069, issued on Aug 16, 2023. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Dallas, TX. The record was last updated on Dec 12, 2025.