DONNA DARLENE POLEN CNP NPI 1689709149

NPI Information

NPI: 1689709149
Provider Name: DONNA DARLENE POLEN, CNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
210 N 7TH ST
SUITE 101
MARIETTA, OH
ZIP 45750
Phone: (740) 376-0490
Get Directions

Donna Darlene Polen, CNP is a family nurse practitioner in Marietta, OH. Donna Darlene Polen, CNP NPI is 1689709149. 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:

210 N 7TH ST
SUITE 101
MARIETTA, OH
ZIP 45750-244
Phone: (740) 376-0490
Fax: (740) 376-0438

The NPI 1689709149 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 2/23/2007 and was last updated on 10/14/2013.

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	COA.08621.NP	OHIO	Yes

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	000000699828	OTHER	OHIO	ANTHEM
2	2811201	MEDICAID	OHIO
3	000000733078	OTHER	OHIO	ANTHEM
4	NP86791	MEDICARE PIN	OHIO
5	3810018814	MEDICAID	WEST VIRGINIA
6	NP26353	MEDICARE PIN	OHIO
7	P01207861	OTHER	OHIO	RAILROAD MEDICARE
8	NP26352	MEDICARE PIN	OHIO
9	000000680677	OTHER	OHIO	ANTHEM

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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