Polley, Andrea Alexandra

Polley, Andrea Alexandra is an individual health care provider with primary practice located at 603 7Th St S Suite 350, St Petersburg FL 33701-4719. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Polley, Andrea Alexandra can be contacted via phone (727) 553-7474.

Contact Information

Primary practice address
603 7Th St S Suite 350 St Petersburg FL 33701-4719
Phone: (727) 553-7474
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP 3187052 Florida

Profile Details

NPI number 1861508392
LBN Legal business name Polley, Andrea Alexandra
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Jun 3rd, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861508392 NPPES
Florida MEDICAID 307607500

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