| Provider / Organization | NPI | Date Certified |
|---|---|---|
| BRENDON ISAAC IAN POLSON | 1760197743 | 2023-01-13 |
Brendon Isaac Ian Polson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1760197743. Registration indicates Brendon Isaac Ian Polson is a provider of services with a specialization in Nursing Service Providers, Registered Nurse (Registered Nurse: Critical Care Medicine, ) (All Other Specialties & Provider Types, ) (Registered Nurse Critical Care Medicine, Nursing Service Providers) (Registered Nurse, )
| Entity Type | Individual |
| Provider Name | Brendon Isaac Ian Polson |
| Practice Office Address | 56 CLOVERFIELD CT MIFFLINTOWN, PA US |
| Practice Office Telephone | 7176951564 |
| Mailing Address | 56 CLOVERFIELD CT MIFFLINTOWN, PA 170599033 US |
| Business Telephone | 7176951564 |
| Code | Practice | License No State |
|---|---|---|
| 163WC0200X PRIMARY | Nursing Service Providers Registered Nurse Registered Nurse: Critical Care Medicine All Other Specialties & Provider Types Registered Nurse Critical Care Medicine Nursing Service Providers Registered Nurse | 61387102
WA |