Polly Chrysanthemum Dodds
Polly Chrysanthemum Dodds is a Nurse Practitioner in Copperopolis, California. Qualified in 2019, 7 years ago. Practices with Mark Twain Medical Center, a 27-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 7
- Licensed in
- CA
- In the registry since
- 2020
Practice location Address checks out
430 Sawmill Creek Rd Unit 6Copperopolis, CA 95228-9242
Phone: (209) 785-7000
Fax: (209) 785-7025
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence NP95013962 (CA) |
|---|
Record details
| NPI number | 1821622820 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 27, 2020 |
| Last updated in NPPES | December 7, 2023 |
| Certification date | December 7, 2023 |
| Mailing address | 430 Sawmill Creek Rd Unit 6, Copperopolis, CA 95228-9242 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Mark Twain Medical Center — 27 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Copperopolis
-
Sofia R. Bulahan, FNP
Copperopolis Family Medical Clinic 3505 Spangler Ln Ste 400, Copperopolis, CA 95228 · (209) 785-7000
-
Pennie Khong, NP
3505 Spangler Ln Ste 400, Copperopolis, CA 95228-9424 · (209) 785-7000