Individual
MELISSA LYNN BOLDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 433-3500
Mailing address
226 SHADY LAWN CIR, SOBIESKI, WI 54171-4403
(920) 819-7775
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
15573-33
WI
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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