Individual
MRS. MELISA ANNE SCHWARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
6051 W EMERALD ST, BOISE, ID 83704-8969
(208) 302-5150
(208) 302-5155
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
72130
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
I DO NOT HAVE THESE NUMBERS.
—
Enumeration date
06/23/2022
Last updated
12/19/2024
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