Individual
MELISSA MACLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
840 N 4TH E, MOUNTAIN HOME, ID 83647-2166
(208) 587-1850
(208) 587-1851
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
75309
ID
Other
Enumeration date
03/01/2023
Last updated
03/02/2026
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