Tanika R Bolar-Byrd, BS
Licensed Practical Nurse in Cornelius, NC. Individual provider (NPI-1).
NPI number1255375366
StatusActive
Last updated in NPPESNov 29, 2017
Details
- NPI
- 1255375366
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Tanika R Bolar-Byrd
- Credential
- BS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 16, 2006
- Last updated
- Nov 29, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 164W00000X | NC | Yes |
Practice location
9802 Penn Station StCornelius, NC 28031-8181
Phone 704-896-3592
Mailing address
Po Box 1110Albany, NY 12201-1110
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