Individual
MRS. NICAYLA S POLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1991 FORDHAM DR, FAYETTEVILLE, NC 28304-3773
(910) 491-1851
Mailing address
108 TEN ACRES TRL, RAEFORD, NC 28376-9672
(910) 603-8147
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5013351
NC
Other
Enumeration date
05/14/2020
Last updated
12/03/2023
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