Individual provider · Type 1 NPI

Tabitha Molly Polley, RN

Registered Nurse · Antonito, CO

NPI number 1376459008 Active

Practice location

409 Main Street
Antonito, CO 81151

Mailing address

795 Cedar St
Sanford, CO 81151-2035

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000XRN.1709547 (CO)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1376459008

Tabitha Molly Polley, RN's National Provider Identifier is 1376459008, issued on Aug 21, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Antonito, CO. The record was last updated on Aug 21, 2026.