Individual provider · Type 1 NPI

Susan Gayle Polk, RN

Registered Nurse · Fort Leavenworth, KS

NPI number 1679647812 Active

Practice location

550 Pope Ave, Munson Army Health Center Attn Mcxn-Cod, Ms Cotton
Fort Leavenworth, KS 66027-2332

Call (913) 684-6562 Map

Fax (913) 684-6208

Mailing address

412 Brookwood St
Lansing, KS 66043-1488

Specialties and licenses

Taxonomy	Code	License
Registered Nurse Primary	163W00000X	14-97418-081 (KS)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1679647812

Susan Gayle Polk, RN's National Provider Identifier is 1679647812, issued on Nov 20, 2006. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Fort Leavenworth, KS. The record was last updated on Jul 8, 2007.