JUDITH POLAK CNNP
NPI 1356423867
Nurse Practitioner - Neonatal in Morgantown, WV

Active since October 20, 2006
1 STADIUM DRIVE, MORGANTOWN, WV 26506(304) 598-4800(304) 293-6963 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Judith Polak Cnnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUDITH POLAK CNNP (NPI 1356423867) is an individual neonatal provider in Morgantown, West Virginia, licensed in West Virginia (29381) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1356423867
Entity TypeIndividualFemale
Primary Taxonomy363LN0000X
Provider Legal NameJUDITH POLAKCredential: CNNP
Location Address1 STADIUM DRIVEMorgantown, WV 26506
Mailing AddressPo Box 897Morgantown, WV 26507-0897 · (304) 293-7401 · Fax (304) 293-6963
Fax(304) 293-6963
Sole ProprietorNo
Enumeration DateOctober 20, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1356423867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0000X
License Licensed in WV · 29381
1 STADIUM DRIVE, Morgantown, WV 26506

Other Identifiers 3

Medicare UPINQ33837
Medicaid3810001469WV
Medicare ID-Type UnspecifiedPO6032611WV

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Otolaryngology
1 STADIUM DRIVE
MORGANTOWN, WV 26506
Nurse Anesthetist, Certified Registered
1 STADIUM DRIVE
MORGANTOWN, WV 26506
Podiatrist
1 STADIUM DRIVE
MORGANTOWN, WV 26506
Internal Medicine (Pulmonary Disease)
1 STADIUM DRIVE
MORGANTOWN, WV 26506
Pediatrics (Pediatric Infectious Diseases)
1 STADIUM DRIVE
MORGANTOWN, WV 26506
Nurse Practitioner
1 STADIUM DRIVE
MORGANTOWN, WV 26506
Physician Assistant
1 STADIUM DRIVE
MORGANTOWN, WV 26506
Internal Medicine
1 STADIUM DRIVE
MORGANTOWN, WV 26506

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Judith Polak's NPI number?

The NPI number for Judith Polak is 1356423867. It was assigned to this individual provider in the NPPES registry on October 20, 2006.

Where is Judith Polak located?

Judith Polak practices at 1 Stadium Drive, Morgantown, WV 26506. The listed phone number is (304) 598-4800.

What is Judith Polak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

When was this NPI record last updated?

The NPPES record for Judith Polak was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.