Individual provider · Type 1 NPI
Brandy Rae Polanco, DNP, FNP-BC, FNP-C
Primary Care Nurse Practitioner · Estero, FL
NPI number
1386404101
Active
Practice location
19148 Corkscrew Rd.
Estero, FL 33928
Mailing address
19148 Elston Way
Estero, FL 33928-6630
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 11031904 (FL) |
| Nurse Practitioner | 363L00000X | 11031904 (FL) |
| Family Nurse Practitioner | 363LF0000X | 11031904 (FL) |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1386404101
Brandy Rae Polanco, DNP, FNP-BC, FNP-C's National Provider Identifier is 1386404101, issued on Mar 20, 2024. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Estero, FL. The record was last updated on Jan 20, 2026.