TARA BOLAND
NPI 1194439240
Licensed Practical Nurse in Melville, NY
- Individual
- Female
- Licensed Practical Nurse
About TARA BOLAND
This page provides the complete NPI Profile along with additional information for Tara Boland, a provider established in Melville, New York with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1194439240 assigned on January 2023. The practitioner's primary taxonomy code is 164W00000X with license number 335945 (NY). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1194439240 Verify this NPI
- Provider Name
- TARA BOLAND
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 535 BROADHOLLOW RD STE B30 MELVILLE, NY 11747
- Location Phone
- (631) 372-1432
- Mailing Address
- 535 BROADHOLLOW RD STE B30 MELVILLE, NY 11747
- Mailing Phone
- (631) 372-1432
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-12-2023
- Last Update Date
- 01-12-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Licensed Practical Nurse
- Taxonomy Code
- 164W00000X
- Type
- Nursing Service Providers
- License No.
- 335945
- License State
- NY
- Taxonomy Description
- A licensed practical nurse 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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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194439240, enumerated as an "individual" on January 12, 2023.
The provider is located at 535 BROADHOLLOW RD STE B30 MELVILLE, NY 11747 and the phone number is (631) 372-1432.
Licensed Practical Nurse with taxonomy code 164W00000X.