Sandra Ann Polachek, FNP-BC
Nurse Practitioner, Family in Minneapolis, MN. Individual provider (NPI-1).
NPI number1265721237
StatusActive
Last updated in NPPESApr 4, 2025
Details
- NPI
- 1265721237
- Entity type
- Individual (NPI-1)
- Name
- Sandra Ann Polachek
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 30, 2011
- Certification date
- Apr 4, 2025
- Last updated
- Apr 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 2011008776 | MO | Yes |
| 163W00000X | Registered Nurse | 2005011210 | MO |
Other names
- Sandra Ann Lopez Kemerling (Former Name)
Practice location
Po Box 1459Minneapolis, MN 55440-1459
Phone 800-328-5979
Mailing address
4413 Appletree CtSaint Joseph, MO 64506-3697
Phone 816-390-3273
Other practice locations
443 S Belt Hwy
Saint Joseph, MO 64506
Saint Joseph, MO 64506
Phone 816-232-2400
4776 Verona Dr
Saint Joseph, MO 64506-5030
Saint Joseph, MO 64506-5030
Phone 816-396-9500
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