Individual
MICHELLE ANN MCNELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 385-3230
(208) 385-4088
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
58722
ID
363LP2300X
Primary Care Nurse Practitioner
58722
ID
Other
Enumeration date
08/30/2018
Last updated
05/12/2025
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