PATRICIA S. POLSON MSN/FNP CRNFA NPI 1639129299

NPI Information

NPI: 1639129299
Provider Name: PATRICIA S. POLSON, MSN/FNP, CRNFA
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
14506 W GRANITE VALLEY DR
#205
SUN CITY WEST, AZ
ZIP 85375
Phone: (623) 584-5626
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Patricia S. Polson, MSN/FNP, CRNFA is a family nurse practitioner in Sun City West, AZ. Patricia S. Polson, MSN/FNP, CRNFA NPI is 1639129299. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

14506 W GRANITE VALLEY DR
#205
SUN CITY WEST, AZ
ZIP 85375-010
Phone: (623) 584-5626
Fax: (623) 584-8998

The NPI 1639129299 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 5/12/2006 and was last updated on 1/18/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	F0604150	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ZWCLCJ	MEDICARE PIN	ARIZONA
2	2Z3248	OTHER	ARIZONA	HEALTHNET
3	730511	OTHER	ARIZONA	UNITED HEALTHCARE
4	P0185990	OTHER	ARIZONA	BCBS OUT OF AREA
5	20WCLCJ01	MEDICARE PIN	ARIZONA
6	1912990094	OTHER	ARIZONA	AHCCCS
7	Z82582	MEDICARE PIN
8	Q20920	MEDICARE UPIN	ARIZONA
9	5124334	OTHER	ARIZONA	AETNA
10	Z82584	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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