TARA BOLAND
NPI 1194439240
Licensed Practical Nurse in Melville, NY

Active since January 12, 2023
535 BROADHOLLOW RD STE B30, MELVILLE, NY 11747(631) 372-1432 Get Directions Write a Review

NPPES record last updated: January 12, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • 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
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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.