| Ms Nicole Ashley Polbos, ARNP | |
|
6400 W Newberry Road, Suite 302, Gainesville, FL 32605 | |
| (352) 331-8902 | |
| (352) 224-1094 |
| Full Name | Ms Nicole Ashley Polbos |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 6400 W Newberry Road, Gainesville, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174063127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | ARNP 9265534 (Florida) | Primary |
| 363LP2300X | Nurse Practitioner - Primary Care | NP9265534 (Florida) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lake City Medical Center | Lake city, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mohammad Ali Faisal, M.d., P.a. | 0042398034 | 4 |
| Entity Name | Mohammad Ali Faisal, M.d., P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689639353 PECOS PAC ID: 0042398034 Enrollment ID: O20101115000865 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Nicole Ashley Polbos, ARNP 6400 W Newberry Road, Suite 302, Gainesville, FL 32605 Ph: (352) 331-8902 | Ms Nicole Ashley Polbos, ARNP 6400 W Newberry Road, Suite 302, Gainesville, FL 32605 Ph: (352) 331-8902 |
Susan Lynette Fort, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2528 Nw 32nd St, Gainesville, FL 32605 Phone: 352-224-8161 Fax: 321-320-8780 | |
Xenia T Blount, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Po Box 100224, Gainesville, FL 32610 Phone: 352-273-7832 Fax: 352-273-7849 | |
Mrs. Brandace Michele Kenworthy, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0111 | |
Miss Sadaf Nazar Malik, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 904-265-0111 | |
Mrs. Sara Renee West, FNP-C, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-9000 Fax: 352-392-8413 | |
Sandrie Rose Dieujuste, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0045 | |
Holly Willis, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1601 Sw Archer Rd., Gainesville, FL 32608 Phone: 352-548-6000 |