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Mark Benedict Polles, NP
Family Nurse Practitioner in New Port Richey, Florida
NPI 1659402964

Mark Benedict Polles is a Family Nurse Practitioner based in Denver, FL and is specialized in Family. Mark Benedict Polles practices in New Port Richey, FL and has the professional credentials of NP. The NPI Number for Mark Benedict Polles is 1659402964 and holds a License No. NP95004120 (Florida).

The current practice location address for Mark Benedict Polles is 5637 Marine Pkwy, New Port Richey, FL and can be reached out via phone at 727-848-1733.

Location: 5637 Marine Pkwy, New Port Richey, FL, 80256-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659402964
Provider Name
Mark Benedict Polles
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
5637 Marine Pkwy, New Port Richey, FL, 80256-0001
Phone Number
727-848-1733
Fax Number
Provider Enumeration Date
03/08/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
255456900 05 MN
995N5PO 01 MN BCBSM
59031735 05 CO
institution
Provider Business Practice Location Address Details
Address
5637 Marine Pkwy
City
New Port Richey
State
Florida
Zip
34652-4316
Phone Number
727-848-1733
Fax Number
person
Provider Business Mailing Address Details
Address
5637 Marine Pkwy
City
New Port Richey
State
Florida
Zip
34652-4316
Phone Number
727-848-1733
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
ARNP2026672 (Florida)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
NP95004120 (California)
Definition
Definition to come...
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