Provider Demographics
NPI:1114136538
Name:BOLLIER ALEXANDER, TOSHA KAY (APRN, NNP-BC)
Entity Type:Individual
Prefix:
First Name:TOSHA
Middle Name:KAY
Last Name:BOLLIER ALEXANDER
Suffix:
Gender:F
Credentials:APRN, NNP-BC
Other - Prefix:
Other - First Name:TOSHA
Other - Middle Name:KAY
Other - Last Name:BOLLIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:3810 KAREN RD
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:TX
Mailing Address - Zip Code:76065-2361
Mailing Address - Country:US
Mailing Address - Phone:214-724-6647
Mailing Address - Fax:
Practice Address - Street 1:1325 PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-2158
Practice Address - Country:US
Practice Address - Phone:817-250-5422
Practice Address - Fax:817-230-5425
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2020-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX658396163WN0002X, 363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal
No163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care