| Doctor Name: | MICHELLE DIANE BOLZ |
| NPI Number: | 1003211665 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | SP014123 |
| Business Practice Address: | 788 Washington Rd Pittsburgh, PA - 152282021 |
| Business Phone Number: | 4123074609 |
| Business Fax Number: | 8888783824 |
| Mailing Address: | 333 Commerce St, Suite 700 NASHVILLE |
| State: | TN |
| Postal Code: | 372011826 |
| Phone Number: | 6156272265 |
| Fax Number: | 8884942588 |
| NPI Enumeration Date: | 10/24/2014 |
| NPI Last Update Date: | 04/19/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | SP014123 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |