Ms Nicole Traylor Bare, COTA/L-RN is a
Occupational Therapy Assistant based in Goldsboro, North Carolina. Ms Nicole Traylor Bare is licensed to practice in North Carolina (license number 3363) and her current practice location is
2401 Wayne Memorial Dr, Goldsboro, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(919) 736-7093.
NPI number for Ms Nicole Traylor Bare is 1063679025 and her current mailing address is 203 King James Way, Pikeville, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063679025.
Provider's Profile
Full Name | Ms Nicole Traylor Bare |
---|
Gender | Female |
---|
Speciality | Occupational Therapy Assistant |
---|
Location | 2401 Wayne Memorial Dr, Goldsboro, North Carolina |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063679025
- Provider Enumeration Date: 05/19/2008
- Last Update Date: 01/06/2014
Medical Identifiers
Medical identifiers for Ms Nicole Traylor Bare such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063679025 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 188234 (North Carolina) | Secondary |
224Z00000X | Occupational Therapy Assistant | 3363 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Nicole Traylor Bare is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Nicole Traylor Bare, COTA/L-RN 203 King James Way, Pikeville, NC 27863-8398 Ph: (252) 560-8947 | Ms Nicole Traylor Bare, COTA/L-RN 2401 Wayne Memorial Dr, Goldsboro, NC 27534-1727 Ph: (919) 736-7093 |
Reviews and Comments