| Mrs Tanika R Bolar-byrd, BS | |
|
9802 Penn Station St, Cornelius, NC 28031-8181 | |
| (704) 896-3592 | |
| Not Available |
| Full Name | Mrs Tanika R Bolar-byrd |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 9802 Penn Station St, Cornelius, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255375366 | NPI | - | NPPES |
| 231137 | Other | NY | LICENSED PRACTICAL NURSE |
| 060162 | Other | NC | LICENSED PRACTICAL NURSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 164W00000X (North Carolina) | Primary |
| Mailing Address | Practice 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 |
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 |