Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Polly Ann Waters, RNFA, FNP-C

Individual provider Nurse Practitioner · NPI 1417987561

MS. Polly Ann Waters, RNFA, FNP-C is a Nurse Practitioner in Dallas, Texas. Qualified in 2002, 24 years ago. Practices with Ortholonestar PLLC, a 415-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
24
Licensed in
TX
In the registry since
2006
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

9301 N Central Expy Ste 400
Dallas, TX 75231-0806
Phone: (214) 220-2468
Fax: (214) 397-1551
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 646178 (TX)

Record details

NPI number1417987561
Entity typeIndividual (Type 1)
GenderFemale
Credentials RNFA , FNP-C
Sole proprietorNo
NPI enumeratedJuly 4, 2006
Last updated in NPPESNovember 4, 2009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Ortholonestar Pllc — 415 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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