Individual provider · Type 1 NPI

Alicia Nichole Polk

Other Specialist/Technologist · Bentonville, AR

NPI number 1548066194 Active

Practice location

2612 S Walton Blvd
Bentonville, AR 72712-7558

Specialties and licenses

TaxonomyCodeLicense
Other Specialist/Technologist Primary 246Z00000X6779 (AR)

Other Specialist/Technologist: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.

5 other providers at this address

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About NPI 1548066194

Alicia Nichole Polk's National Provider Identifier is 1548066194, issued on Feb 24, 2025. The primary taxonomy on file is Other Specialist/Technologist (246Z00000X), and the practice location is in Bentonville, AR. The record was last updated on Feb 24, 2025.