Individual
MELISSA CHRISTOFFERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2394 COURTNEY ST, POCATELLO, ID 83201-7920
(208) 281-7616
Mailing address
2394 COURTNEY ST, POCATELLO, ID 83201-7920
(208) 281-7616
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
70618
ID
Other
Enumeration date
07/17/2025
Last updated
07/17/2025
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