Individual
MELISSA ELAINE MCCASKILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
10178 W CARLTON BAY DR, GARDEN CITY, ID 83714-5150
(208) 888-6886
Mailing address
4537 W QUAIL RIDGE DR, BOISE, ID 83703-3839
(208) 576-1244
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
60043
ID
Other
Enumeration date
10/17/2018
Last updated
06/25/2025
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