MELISSA MACLEAN
Individual Provider (NPI-1)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1922707686- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 840 N 4TH E, MOUNTAIN HOME, ID, 836472166
- Phone
- (208) 587-1850
- Fax
- (208) 587-1851
Specialties & Taxonomies
Nurse Practitioner, Family
Primary License: ID #75309
All Addresses
MAILING
190 E BANNOCK ST
BOISE, ID, 837126241