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Mrs. Tanika R Bolar-byrd, BS
Licensed Practical Nurse in Cornelius, North Carolina
NPI 1255375366

Tanika R Bolar-byrd is a Licensed Practical Nurse based in Albany, NC. Tanika R Bolar-byrd practices in Cornelius, NC and has the professional credentials of BS. The NPI Number for Tanika R Bolar-byrd is 1255375366 and holds a License No. 164W00000X (North Carolina).

The current practice location address for Tanika R Bolar-byrd is 9802 Penn Station St, Cornelius, NC and can be reached out via phone at 704-896-3592.

Location: 9802 Penn Station St, Cornelius, NC, 12201-1110
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255375366
Provider Name
Tanika R Bolar-byrd
Credential
BS
Provider Entity Type
Individual
Gender
Female
Address
9802 Penn Station St, Cornelius, NC, 12201-1110
Phone Number
704-896-3592
Fax Number
Provider Enumeration Date
06/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
231137 01 NY LICENSED PRACTICAL NURSE
060162 01 NC LICENSED PRACTICAL NURSE
institution
Provider Business Practice Location Address Details
Address
9802 Penn Station St
City
Cornelius
State
North Carolina
Zip
28031-8181
Phone Number
704-896-3592
Fax Number
person
Provider Business Mailing Address Details
Address
9802 Penn Station St
City
Cornelius
State
North Carolina
Zip
28031-8181
Phone Number
704-896-3592
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
164W00000X (North Carolina)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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