Provider Demographics
NPI:1336518935
Name:POL, NANCY ELEANOR (MSN, RN, CNM)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:ELEANOR
Last Name:POL
Suffix:
Gender:F
Credentials:MSN, RN, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35150 N BELL RD
Mailing Address - Street 2:
Mailing Address - City:SAN TAN VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85144-9248
Mailing Address - Country:US
Mailing Address - Phone:484-390-0179
Mailing Address - Fax:888-613-6789
Practice Address - Street 1:35150 N BELL ROAD
Practice Address - Street 2:
Practice Address - City:QUEEN CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85144
Practice Address - Country:US
Practice Address - Phone:484-390-0179
Practice Address - Fax:888-613-6789
Is Sole Proprietor?:No
Enumeration Date:2015-09-24
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA235705367A00000X
AZ238341367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife