NPI 1548066194

Alicia Nichole Polk

Practitioner Other Specialist/Technologist Bentonville, AR

Practice location

Address: 2612 S Walton Blvd, Bentonville, AR 72712-7558
Phone: (479) 395-1115

Registered specialties

Other Specialist/Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246Z00000X Licence 6779 (AR)

Other Specialist/Technologist, Other providers in Arkansas →

Registry record

NPI: 1548066194
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Feb 2025
Record last updated: 24 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.