Individual
ALEXANDARIA MARIE BOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN FNP-C
Contact information
Practice address
689 MEDICAL PARK DR STE 301, LENOIR CITY, TN 37772-5798
(865) 988-9970
(865) 271-6621
Mailing address
689 MEDICAL PARK DR STE 301, LENOIR CITY, TN 37772-5798
(865) 988-9970
(865) 271-6621
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
207214
TN
363LF0000X
Family Nurse Practitioner
Primary
25981
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q051911
—
TN
Enumeration date
06/07/2019
Last updated
08/29/2024
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