Individual
DR. BRANDY RAE POLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC, FNP-C
Contact information
Practice address
19148 CORKSCREW RD., ESTERO, FL 33928
(941) 882-0770
Mailing address
19148 ELSTON WAY, ESTERO, FL 33928-6630
(714) 616-8116
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
11031904
FL
363LF0000X
Family Nurse Practitioner
11031904
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
11031904
FL
Other
Enumeration date
03/20/2024
Last updated
01/20/2026
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