Amelia S Polheber RN, BSN, MSN, FNP-BC

NPI 1780816082 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1780816082
Gender Female
Enumeration Date 08/20/2009
Last Updated 07/08/2015
Entity Type Individual
Active Over 7 years ago
Practice Location
4290 POLK AVENUE
SAN DIEGO CA, 92105-1524, US
Phone (619) 563-0507
Fax (619) 563-0015
Business Location
4290 POLK AVENUE
SAN DIEGO CA, 92105-1524, US
Phone (619) 563-0507
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State Illinois
License Number 209007738
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According to our database, Mrs. Amelia S Polheber RN, BSN, MSN, FNP-BC NPI is 1780816082, taxonomy code is 363LF0000X and license number is 209007738, license state is located at Illinois. Amelia S Polheber RN, BSN, MSN, FNP-BC physically located at 4290 Polk Avenue, San Diego CA, 92105-1524. NPI Number Amelia S Polheber RN, BSN, MSN, FNP-BC has the Individual type.

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1780816082 NPI number is provided on an as is basis without warranty of any kind. 1780816082 is maintained by the National Plan & Provider Enumeration System. The contents of Amelia S Polheber RN, BSN, MSN, FNP-BC are for informational purposes only.