Provider Demographics
NPI:1588657738
Name:POLIN, NANCY JM (MSN, CRNP)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:JM
Last Name:POLIN
Suffix:
Gender:F
Credentials:MSN, CRNP
Other - Prefix:
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Mailing Address - Street 1:322 WINDY RUN RD
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-2373
Mailing Address - Country:US
Mailing Address - Phone:215-489-0538
Mailing Address - Fax:215-489-0538
Practice Address - Street 1:345 N YORK RD
Practice Address - Street 2:
Practice Address - City:HATBORO
Practice Address - State:PA
Practice Address - Zip Code:19040-2045
Practice Address - Country:US
Practice Address - Phone:215-675-1516
Practice Address - Fax:215-675-9176
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAVP002007C363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health