Individual provider · Type 1 NPI
Lynette Christine Polston, NP
Neonatal Nurse Practitioner · Muncie, IN
NPI number
1629730031
Active
Practice location
2401 W University Ave
Muncie, IN 47303-3428
Fax (765) 751-2759
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | 28170323A (IN) |
| Neonatal Nurse Practitioner Primary | 363LN0000X | 71012024A (IN) |
Neonatal Nurse Practitioner: Definition to come...
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About NPI 1629730031
Lynette Christine Polston, NP's National Provider Identifier is 1629730031, issued on Oct 13, 2021. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in Muncie, IN. The record was last updated on Aug 25, 2022.