Most Relevant Information
Provider Data
| NPI Number: | 1003211665 |
| Provider Name: | MICHELLE DIANE BOLZ CRNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | SP014123 |
Most Important Dates
| Enumeration Date: | 10/24/2014 |
| Last Updated: | 04/19/2016 |
Provider Practice Location
788 WASHINGTON RD
PITTSBURGH
PA
152282021
Practice Location Phone/Fax
| Phone: | 4123074609 |
| Fax: | 8888783824 |
Provider Mailing Location
333 COMMERCE ST
SUITE 700
NASHVILLE
TN
372011826
Provider Mailing Phone/Fax
| Phone: | 6156272265 |
| Fax: | 8884942588 |