Mrs Tanika R Bolar-byrd, BS - Licensed Practical Nurse in Cornelius, NC

Mrs Tanika R Bolar-byrd, BS is a Licensed Practical Nurse based in Cornelius, North Carolina. Mrs Tanika R Bolar-byrd is licensed to practice in North Carolina (license number 164W00000X) and her current practice location is 9802 Penn Station St, Cornelius, North Carolina. She can be reached at her office (for appointments etc.) via phone at (704) 896-3592.

NPI number for Mrs Tanika R Bolar-byrd is 1255375366 and her current mailing address is Po Box 1110, Albany, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255375366.

Contact Information

Mrs Tanika R Bolar-byrd, BS
9802 Penn Station St,
Cornelius, NC 28031-8181
(704) 896-3592
Not Available



Provider's Profile

Full NameMrs Tanika R Bolar-byrd
GenderFemale
SpecialityLicensed Practical Nurse
Location9802 Penn Station St, Cornelius, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1255375366
  • Provider Enumeration Date: 06/16/2006
  • Last Update Date: 11/29/2017

Medical Identifiers

Medical identifiers for Mrs Tanika R Bolar-byrd such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255375366NPI-NPPES
231137OtherNYLICENSED PRACTICAL NURSE
060162OtherNCLICENSED PRACTICAL NURSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 164W00000X (North Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Tanika R Bolar-byrd is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Tanika R Bolar-byrd, BS
Po Box 1110,
Albany, NY 12201-1110

Ph: () -
Mrs Tanika R Bolar-byrd, BS
9802 Penn Station St,
Cornelius, NC 28031-8181

Ph: (704) 896-3592

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› Verified 6 days ago


Licensed Practical Nurse Nurses in Cornelius, NC

Mary E Schockling, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 19520 One Norman Blvd, Apt J, Cornelius, NC 28031
Phone: 407-968-5635    Fax: 980-231-1988

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