Individual
MELISSA C BURNS-PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1090 W PARK PL, COEUR D ALENE, ID 83814-2785
(208) 215-2005
(844) 807-3782
Mailing address
PO BOX 1387, HAYDEN, ID 83835-1387
(208) 415-0299
(208) 625-2070
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA1587
ID
363AM0700X
Medical Physician Assistant
PA60375274
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174961288
—
ID
Enumeration date
06/11/2013
Last updated
08/25/2021
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