Individual
MELISSA A WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4301 GARRITY BLVD STE 103, NAMPA, ID 83687-9222
(855) 434-7763
(949) 281-5550
Mailing address
4301 GARRITY BLVD STE 103, NAMPA, ID 83687-9222
(855) 434-7763
(949) 281-5550
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-856
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770817413
—
ID
Enumeration date
08/25/2010
Last updated
11/06/2023
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