MEDICARE: RACHEL LYNN POLLAN BSN DNAP CRNA APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	152877	FL

General Provider Information

NPI Number	:	1487466371
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL LYNN POLLAN BSN DNAP CRNA APRN

Provider Business Mailing Address
First Line	:	3560 ELDRON AVE
Second Line	:
City	:	NORTH PORT
State	:	FL
Zip	:	34286-7453
Country	:	US
Telephone Number	:	413-205-9130
Fax Number	:

Provider Business Practice Location Address
First Line	:	21298 OLEAN BLVD
Second Line	:
City	:	PORT CHARLOTTE
State	:	FL
Zip	:	33952-6765
Country	:	US
Telephone Number	:	941-629-1181
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2025
Last Update Date	:	01/27/2025

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