Individual
KRISTIN MELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1273 BURNS WAY, KALISPELL, MT 59901-3109
(406) 752-8300
Mailing address
1273 BURNS WAY, KALISPELL, MT 59901-3109
(406) 752-8300
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
147037
MT
363LP0200X
Pediatric Nurse Practitioner
SP013669
PA
Other
Enumeration date
02/12/2014
Last updated
02/12/2021
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