Basic Information
Provider Information
NPI: 1770987604
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BARTHOLOMEW
FirstName: MELISSA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
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Mailing Information
Address1: 333 COMMERCE ST
Address2: SUITE 700
City: NASHVILLE
State: TN
PostalCode: 372011826
CountryCode: US
TelephoneNumber: 6156272265
FaxNumber: 8884942588
Practice Location
Address1: 788 WASHINGTON RD
Address2:  
City: PITTSBURGH
State: PA
PostalCode: 152282021
CountryCode: US
TelephoneNumber: 4123074609
FaxNumber: 8888783824
Other Information
ProviderEnumerationDate: 10/21/2014
LastUpdateDate: 04/19/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000XSP014320PAY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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