Provider Demographics
NPI:1073162855
Name:NARD, TAMIKA LAVERN (REGISTERED NURSE)
Entity Type:Individual
Prefix:MRS
First Name:TAMIKA
Middle Name:LAVERN
Last Name:NARD
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:TAMIKA
Other - Middle Name:LAVERN
Other - Last Name:BURNES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:15222 FLINTRIDGE LAKE LN
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-7352
Mailing Address - Country:US
Mailing Address - Phone:281-528-3419
Mailing Address - Fax:
Practice Address - Street 1:18230 FM 1488 RD STE 200
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:TX
Practice Address - Zip Code:77354-4530
Practice Address - Country:US
Practice Address - Phone:936-270-4800
Practice Address - Fax:936-270-4801
Is Sole Proprietor?:No
Enumeration Date:2019-09-05
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX693127163W00000X
TXAP144031363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse