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General NPI Number Information
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NPI Number | 1487466371
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Entity Type | Individual
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Provider Name | RACHEL LYNN POLLAN BSN DNAP CRNA APRN
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Gender | Female
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Dates
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Enumeration Date | 01/27/2025
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 21298 OLEAN BLVD
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City | PORT CHARLOTTE
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State | FL
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Zip | 33952-6765
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Country | US
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Telephone | 941-629-1181
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Fax |
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Provider Business Mailing Address
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Address Line | 3560 ELDRON AVE
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City | NORTH PORT
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State | FL
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Zip | 34286-7453
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Country | US
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Telephone | 413-205-9130
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 152877
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License Number State | FL
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