SearchMissouri363LP2300X

Heather Polk, APRN

NPI 1053973081 · on the registry since 2019 · sole proprietor

Practice

Address
200 Southland Dr
Sikeston, MO 63801
Phone
(573) 472-1770
Fax
(573) 472-4050
Organisation at this address
Southeast Missouri Health Network
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Additional practice sites

  • 109 E 5th St, Caruthersville, MO
  • 941 Davis St, New Madrid, MO
  • 421 Semo Dr, New Madrid, MO

Registry record

Primary taxonomy
363LP2300X
363LP2300X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-04-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri