DR. BRANDY RAE POLANCO DNP FNP-BC NPI 1386404101

NPI Information

NPI: 1386404101
Provider Name: DR. BRANDY RAE POLANCO, DNP, FNP-BC
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

Address:
10676 COLONIAL BLVD STE 20
FORT MYERS, FL
ZIP 33913
Phone: (239) 288-7949
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DR. Brandy Rae Polanco, DNP, FNP-BC is a primary care nurse practitioner in Fort Myers, FL. DR. Brandy Rae Polanco, DNP, FNP-BC NPI is 1386404101. 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:

10676 COLONIAL BLVD STE 20
FORT MYERS, FL
ZIP 33913-715
Phone: (239) 288-7949

The enumeration date for this NPI number is 3/20/2024 and was last updated on 3/20/2024.

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	363LP2300X	Nurse Practitioner	Primary Care	11031904	FLORIDA	Yes
2	363L00000X	Nurse Practitioner		11031904	FLORIDA	No
3	363LF0000X	Nurse Practitioner	Family	11031904	FLORIDA	No

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: 5/5/2024

NPI Synchronization or Removal

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