Individual
PATRICIA S. POLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN/FNP, CRNFA
Contact information
Practice address
12361 W BOLA DR STE 107, SURPRISE, AZ 85378-9021
(623) 266-1333
(602) 773-5674
Mailing address
12361 W BOLA DR STE 107, SURPRISE, AZ 85378-9021
(623) 266-1333
(602) 773-5674
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F0604150
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912990094
AHCCCS
AZ
01
—
2Z3248
HEALTHNET
AZ
01
—
5124334
AETNA
AZ
01
—
730511
UNITED HEALTHCARE
AZ
01
—
P0185990
BCBS OUT OF AREA
AZ
Enumeration date
05/12/2006
Last updated
02/20/2025
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