Mrs. MELANIE GILLILAND FNP
Individual Provider (NPI-1)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1730585878- Provider Type
- Individual Provider (NPI-1)
- Credentials
- FNP
- Status
- Active
Contact & Location
- Address
- 120 DESERT SAGE WAY, MOUNTAIN HOME, ID, 836471038
- Phone
- (208) 587-3988
- Fax
- (208) 587-3324
Specialties & Taxonomies
Nurse Practitioner, Family
Primary License: TN #19372