Merrill, Melissa D

Merrill, Melissa D is an individual health care provider with primary practice located at 132 5Th Ave W , Jerome ID 83338-1825. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Merrill, Melissa D can be contacted via phone (208) 324-5286.

Contact Information

Primary practice address
132 5Th Ave W Jerome ID 83338-1825
Phone: (208) 324-5286
Fax: (208) 324-9815
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 19862A Idaho
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X NP1172A Idaho

Profile Details

NPI number 1043459696
LBN Legal business name Merrill, Melissa D
Credentials CNM, WHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2009
Last updated Jan 7th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1043459696 NPPES
Idaho Other 000010171795 BS
Idaho MEDICAID 808284700 BS
Idaho Other NP311 BS

Popular Providers