| NPI | 1063976462 |
|---|---|
| Other Name | SHAKENDRA POLK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 167G00000X Licensed Psychiatric Technician |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV 846512) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NV 846512) | |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2025-08-20 |