Individual provider · Type 1 NPI

Nicayla S. Polanco, FNP-BC

Family Nurse Practitioner · Fayetteville, NC

NPI number 1194347922 Active

Practice location

1991 Fordham Dr
Fayetteville, NC 28304-3773

Mailing address

108 Ten Acres Trl
Raeford, NC 28376-9672

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X5013351 (NC)

Family Nurse Practitioner: Definition to come...

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About NPI 1194347922

Nicayla S. Polanco, FNP-BC's National Provider Identifier is 1194347922, issued on May 14, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fayetteville, NC. The record was last updated on Dec 3, 2023.