Individual provider · Type 1 NPI

Kelly Anne Polak, NP

Family Nurse Practitioner · Scottsdale, AZ

NPI number 1114133162 Active

Practice location

9003 E Shea Blvd
Scottsdale, AZ 85260-6709

Mailing address

13601 W Pinchot Ave
Avondale, AZ 85392-3552

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN063628 (AZ)

Family Nurse Practitioner: Definition to come...

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About NPI 1114133162

Kelly Anne Polak, NP's National Provider Identifier is 1114133162, issued on May 15, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Scottsdale, AZ. The record was last updated on Sep 25, 2007.