Individual provider · Type 1 NPI

Erin Marie Polak, CPNP-PC

Pediatric Nurse Practitioner · Morgantown, WV

NPI number 1477242584 Active

Practice location

201 Bakers Ridge Rd
Morgantown, WV 26508-1500

Mailing address

136 Bakers Dr
Morgantown, WV 26505-2573

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X108379 (WV)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1477242584

Erin Marie Polak, CPNP-PC's National Provider Identifier is 1477242584, issued on May 4, 2023. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Morgantown, WV. The record was last updated on May 4, 2023.