Individual
TANIA LALLI BARDSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1121 N CHURCH ST, GREENSBORO, NC 27401-1007
(336) 832-7000
Mailing address
2016 ELVINGTON RD, JOHNS ISLAND, SC 29455-8278
(623) 262-0212
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
286629
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
138555
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
30303
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN4692
—
SC
Enumeration date
02/22/2020
Last updated
07/02/2026
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