Individual provider · Type 1 NPI

Amanda Nicole Polanco, FNP

Family Nurse Practitioner · Victorville, CA

NPI number 1235902735 Active

Practice location

16850 Bear Valley Rd
Victorville, CA 92395-5794

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X95024607 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1235902735

Amanda Nicole Polanco, FNP's National Provider Identifier is 1235902735, issued on Nov 6, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Victorville, CA. The record was last updated on Nov 6, 2023.