Stella Polvanova, N.P.
NPI #1013201557 in Far Rockaway, New York
Provider Information
- NPI Number
- 1013201557
- Entity Type
- Individual
- Name
- Stella Polvanova, N.P.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Adult Health
- Credential
- N.P.
- Enumeration Date
- Jun 1, 2011
- Last Updated
- Jun 1, 2011
Practice Location
- Address
- 529 BEACH 20TH ST
- City
- Far Rockaway
- State
- New York
- ZIP Code
- 11691-3645
- Phone
- (718) 327-7307
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Nurse Practitioner - Adult Health — Adult Health |
| Nurse Practitioner - Gerontology — Gerontology |
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