Individual
ELYSE POLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
9787 N 91ST ST STE 101, SCOTTSDALE, AZ 85258-5088
(480) 510-3036
Mailing address
9787 N 91ST ST STE 101, SCOTTSDALE, AZ 85258-5088
(480) 510-3036
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
263881
AZ
Other
Enumeration date
09/17/2021
Last updated
04/02/2024
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