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Contact Information

MELISSA J BOLT, AGPCNP
602 S. 4TH STREET
LOVING, NM88256
 Phone: 575-745-3573
 Fax: 505-443-8318
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

363LG0600X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MELISSA J BOLT · (Female)

NPI Number 1730374547
Status Active
Credentials AGPCNP
Entity Individual
Enumeration date 09/14/2007
Last updated 01/08/2026 - About 5 months ago
Sole proprietor 1 No
Identifiers
  • NM License # 82653
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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