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MELINDA NICOLE O'NEAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
360 E MONTVUE DR STE 200, MERIDIAN, ID 83642-6318
(208) 381-1615
(208) 381-5141
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-1615

Taxonomy

Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
63781
ID
363LF0000X
Family Nurse Practitioner
Primary
63781
ID

Other

Enumeration date
01/04/2019
Last updated
11/06/2024
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