Individual
MS. MELISSA ANNE PACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
811 NW 12TH ST, FRUITLAND, ID 83619-2268
(208) 452-7450
(208) 452-7550
Mailing address
811 NW 12TH ST, FRUITLAND, ID 83619-2268
(208) 452-7450
(208) 452-7550
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-1048A
ID
Other
Enumeration date
05/25/2011
Last updated
05/25/2011
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