| NPI | 1730374547 |
|---|---|
| Professional Name | MELISSA JOY BOLT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2019040447) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R1623130) |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2022-02-23 |