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Kelly Anne Polak, NP
Family Nurse Practitioner in Scottsdale, Arizona
NPI 1114133162

Kelly Anne Polak is a Family Nurse Practitioner based in Avondale, AZ and is specialized in Family. Kelly Anne Polak practices in Scottsdale, AZ and has the professional credentials of NP. The NPI Number for Kelly Anne Polak is 1114133162 and holds a License No. RN063628 (Arizona).

The current practice location address for Kelly Anne Polak is 9003 E Shea Blvd, Scottsdale, AZ and can be reached out via phone at 480-323-3350.

Location: 9003 E Shea Blvd, Scottsdale, AZ, 85392-3552
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114133162
Provider Name
Kelly Anne Polak
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
9003 E Shea Blvd, Scottsdale, AZ, 85392-3552
Phone Number
480-323-3350
Fax Number
Provider Enumeration Date
05/15/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9003 E Shea Blvd
City
Scottsdale
State
Arizona
Zip
85260-6709
Phone Number
480-323-3350
Fax Number
person
Provider Business Mailing Address Details
Address
9003 E Shea Blvd
City
Scottsdale
State
Arizona
Zip
85260-6709
Phone Number
480-323-3350
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
RN063628 (Arizona)
Definition
Definition to come...
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