Tabitha Molly Polley, RN is a
Registered Nurse based in Antonito, Colorado. Tabitha Molly Polley is licensed to practice in Colorado (license number RN.1709547) and her current practice location is
409 Main Street, Antonito, Colorado. She can be reached at her office (for appointments etc.) via phone at
(719) 580-2083.
NPI number for Tabitha Molly Polley is 1376459008 and her current mailing address is 795 Cedar St, Sanford, Colorado. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376459008.
Provider's Profile
| Full Name | Tabitha Molly Polley |
|---|
| Gender | Female |
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| Speciality | Registered Nurse |
|---|
| Location | 409 Main Street, Antonito, Colorado |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1376459008
- Provider Enumeration Date: 08/21/2026
- Last Update Date: 08/21/2026
Medical Identifiers
Medical identifiers for Tabitha Molly Polley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1376459008 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | RN.1709547 (Colorado) | Primary |
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. Tabitha Molly Polley 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 Address | Practice Location Address |
Tabitha Molly Polley, RN 795 Cedar St, Sanford, CO 81151-2035 Ph: (719) 580-2083 | Tabitha Molly Polley, RN 409 Main Street, Antonito, CO 81151 Ph: (719) 580-2083 |
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