Individual
POLLI RAYBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2218 GREEN GATE DR, ARLINGTON, TX 76012-4935
(817) 312-6862
Mailing address
2218 GREEN GATE DR, ARLINGTON, TX 76012-4935
(817) 312-6862
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
666097
TX
390200000X
Student in an Organized Health Care Education/Training Program
666097
TX
Other
Enumeration date
11/09/2009
Last updated
01/13/2017
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