Polli Rayburn, RN - Nurse Practitioner in Arlington, TX

Polli Rayburn, RN is a Nurse Practitioner - Neonatal based in Arlington, Texas. Polli Rayburn is licensed to practice in Texas (license number 666097) and her current practice location is 2218 Green Gate Dr, Arlington, Texas. She can be reached at her office (for appointments etc.) via phone at (817) 312-6862.

NPI number for Polli Rayburn is 1326375569 and her current mailing address is 2218 Green Gate Dr, Arlington, Texas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1326375569.

Contact Information

Polli Rayburn, RN
2218 Green Gate Dr,
Arlington, TX 76012-4935
(817) 312-6862
Not Available

Map and Direction




Provider's Profile

Full NamePolli Rayburn
GenderFemale
SpecialityNurse Practitioner - Neonatal
Location2218 Green Gate Dr, Arlington, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1326375569
  • Provider Enumeration Date: 11/09/2009
  • Last Update Date: 01/13/2017

Medical Identifiers

Medical identifiers for Polli Rayburn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326375569NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LN0000XNurse Practitioner - Neonatal 666097 (Texas)Primary
390200000XStudent In An Organized Health Care Education/training Program 666097 (Texas)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Polli Rayburn is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Polli Rayburn, RN
2218 Green Gate Dr,
Arlington, TX 76012-4935

Ph: (817) 312-6862
Polli Rayburn, RN
2218 Green Gate Dr,
Arlington, TX 76012-4935

Ph: (817) 312-6862

Reviews and Comments


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