Tracy Polak
Nurse Practitioner - Gerontology
55 Arch St Ste 2h
Akron
, Ohio 44304-1423
Tracy Polak
Nurse Practitioner - Gerontology
55 Arch St Ste 2h
Akron
, Ohio 44304-1423
(888) 328-4534
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Tracy Polak
- Po Box 26010
- Akron, OH
- Zip : 44319-6010
- Phone : (888) 328-4534
Second Address
- Tracy Polak
- 55 Arch St Ste 2h
- Akron, OH
- Zip : 44304-1423
- Phone : (330) 375-4100
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | RN25262 | OH |
National Provider Identifier
| NPI | 1053388322 |
|---|---|
| Provider Name | Tracy Polak |
| First Address | Akron, OH 44319-6010 |
| Second Address | Akron, OH 44304-1423 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/03/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2569860 | (05) | OH |
| 34145806900 | OHIO WORKER COMPENSATION (01) | OH |
| S85677 | (02) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.