Blythe Pollack, CPNP-AC
Nurse Practitioner, Pediatrics, Critical Care in Ann Arbor, MI. Individual provider (NPI-1).
NPI number1124449459
StatusActive
Last updated in NPPESJan 16, 2014
Details
- NPI
- 1124449459
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Blythe Pollack
- Credential
- CPNP-AC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 6, 2014
- Last updated
- Jan 16, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0222X | Nurse Practitioner, Pediatrics, Critical Care | 4704266977 | MI | Yes |
Practice location
1500 E Medical Center Dr10th Floor C.S. Mott Children'S Hospital
Ann Arbor, MI 48109-4286
Phone 734-763-5302
Mailing address
3621 South State Street700 Kms Place
Ann Arbor, MI 48108
Phone 734-936-2047
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