DANIELLE MARIE POLEGA NP-C NPI 1235782772

NPI Information

NPI: 1235782772
Provider Name: DANIELLE MARIE POLEGA, NP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
401 W MOHAWK DR
TOMAHAWK, WI
ZIP 54487
Phone: (715) 453-7700
Get Directions

Danielle Marie Polega, NP-C is a family nurse practitioner in Tomahawk, WI with 5 years of experience. Danielle Marie Polega, NP-C NPI is 1235782772. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

401 W MOHAWK DR
TOMAHAWK, WI
ZIP 54487-274
Phone: (715) 453-7700

The NPI 1235782772 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/23/2019 and was last updated on 11/20/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	9578-33	WISCONSIN	Yes
2	163WC0200X	Registered Nurse	Critical Care Medicine	171656	WISCONSIN	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	F07191563	OTHER	WISCONSIN	AANP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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