TONYA ANNE BOLIVER RN NPI 1811772064

NPI Information

  • NPI: 1811772064
  • Provider Name: TONYA ANNE BOLIVER, RN
  • Classification: Registered Nurse - 163WP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 482 BLACK RIVER PKWY
    WATERTOWN, NY
    ZIP 13601
  • Phone: (315) 782-1777

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NPI Details

Tonya Anne Boliver, RN is a psychiatric/mental health registered nurse in Watertown, NY. Tonya Anne Boliver, RN NPI is 1811772064. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

482 BLACK RIVER PKWY
WATERTOWN, NY
ZIP 13601-416
Phone: (315) 782-1777
Fax: (315) 782-8628

The enumeration date for this NPI number is 8/28/2023 and was last updated on 8/28/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WP0808XRegistered NursePsychiatric/Mental Health578776NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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