POLLI RAYBURN


Address: 2218 Green Gate Dr, Arlington, TX 76012-4935
Phone: 8173126862

POLLI RAYBURN (NPI# 1326375569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326375569
Entity Type Individual
Full Name POLLI RAYBURN
Credential RN
Practice Address 2218 Green Gate Dr
Arlington
TX 76012-4935
Practice Telephone 8173126862
Mailing Telephone 8173126862
Enumeration Date 2009-11-09
Last Update Date 2017-01-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LN0000X Nurse Practitioner
Specialization: Neonatal
666097 TX Physician Assistants & Advanced Practice Nursing Providers
N 390200000X Student in an Organized Health Care Education/Training Program 666097 TX Student, Health Care

Office Location

Street Address 2218 GREEN GATE DR
City ARLINGTON
State TX
Zip Code 76012-4935

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Taxonomy Information

Taxonomy Code 363LN0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Neonatal

Taxonomy Definition

Definition to come...

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1114123064 Martina H Lopez Nurse Practitioner 1701 N George Mason Dr, Arlington, VA 22205-3610 2007-06-26

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Competitor

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City ARLINGTON
Zip Code 76012

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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