Individual
MELISA STACEY WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2725 CHANNING WAY, IDAHO FALLS, ID 83404-7510
(208) 535-8448
Mailing address
1830 VIOLA DR, IDAHO FALLS, ID 83401-6028
(208) 497-9768
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
64774
ID
Other
Enumeration date
02/06/2024
Last updated
02/08/2024
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