IndividualActive
Melanie Boltze
NPI 1407480932 · General Practice Registered Nurse · Avondale, AZ
Provider details
- NPI number
- 1407480932
- Entity type
- Individual
- Primary specialty
- General Practice Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 165689 (AZ)
Specialties & taxonomies
Nursing Service Providers
Practice location
12409 W Indian School Rd
Avondale, AZ 85392-9502
Phone: (623) 935-9920
Fax: (623) 935-9925
Approximate (ZIP-level) locationGet directions
Mailing address
12409 W Indian School Rd Ste B210
Avondale, AZ 85392-9505
Registry dates
- Enumerated
- 2020-02-24
- Last updated
- 2020-02-24
- Certified
- 2020-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.