# MELISSA ANDROSOV

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568283158
- **Authorized official:** DR. MELISSA ANDROSOV ND (NATUROPATHIC DOCTOR)
- **Authorized official phone:** (208) 610-3779

## Contact information

- **Practice address:** 1500 NORTHWEST BLVD STE 206, COEUR D ALENE, ID 83814-2413
- **Practice address phone:** (208) 610-3779
- **Mailing address:** 1500 NORTHWEST BLVD STE 206, COEUR D ALENE, ID 83814-2413
- **Mailing address phone:** (208) 610-3779

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/17/2024
- **Last updated:** 10/17/2024