| Doctor Name: | AMY POLING |
| NPI Number: | 1053779124 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN ED., RN |
| License Number: | RN.318087 |
| Business Practice Address: | 4475 S Hamilton Rd Groveport, OH - 431259333 |
| Business Phone Number: | 6148364964 |
| Business Fax Number: | |
| Mailing Address: | 4475 S Hamilton Rd, GROVEPORT |
| State: | OH |
| Postal Code: | 431259333 |
| Phone Number: | 6148364964 |
| Fax Number: | |
| NPI Enumeration Date: | 02/04/2016 |
| NPI Last Update Date: | 02/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0200X |
| License Number: | RN.318087 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |