Individual
MRS. MELISSA JOY BOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
602 S. 4TH STREET, LOVING, NM 88256
(575) 745-3573
(505) 443-8318
Mailing address
602 S. 4TH STREET, LOVING, NM 88256
(575) 745-3573
(505) 443-8318
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
82653
NM
Other
Enumeration date
09/14/2007
Last updated
01/08/2026
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