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Individual

MS. JULIE MARIE POLZIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, NP-C

Contact information

Practice address
107 E OAK AVE, SUITE 201, FLAGSTAFF, AZ 86001-1818
(928) 913-8800
(928) 913-8801
Mailing address
1200 N BEAVER ST, PAYER CREDENTIALING, FLAGSTAFF, AZ 86001-3118
(928) 773-2559
(928) 213-6292

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP4224
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
669147
AZ
Enumeration date
10/11/2011
Last updated
01/07/2016
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