Miranda Polaski, PA
Physician Assistant · Southington, CT
UnclaimedPANPI 1003307554
- Primary taxonomy
- 363A00000X
- Enumerated
- 2018-05-21
- Practice location
- Southington, CT
- Last NPPES update
- 2018-08-22
State licenses
- CT · Physician assistant · Physician AssistantActivethrough 2027
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.