Mrs. Melissa D Merrill
Nurse Practitioner - Women's Health
132 5th Ave W
Jerome
, Idaho 83338-1825
Mrs. Melissa D Merrill
Nurse Practitioner - Women's Health
132 5th Ave W
Jerome
, Idaho 83338-1825
(208) 324-9815
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About
Features
Specialties
- Nurse Practitioner - Women's Health
Languages spoken
- English
Location
First Address
- Mrs. Melissa D Merrill
- 132 5th Ave W
- Jerome, ID
- Zip : 83338-1825
- Fax : (208) 324-9815
- Phone : (208) 324-5286
Second Address
- Mrs. Melissa D Merrill
- 132 5th Ave W
- Jerome, ID
- Zip : 83338-1825
- Fax : (208) 324-9815
- Phone : (208) 324-5286
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LW0102X | Nurse Practitioner - Women's Health | NP1172A | ID |
National Provider Identifier
| NPI | 1043459696 |
|---|---|
| Provider Name | Mrs. Melissa D Merrill |
| First Address | Jerome, ID 83338-1825 |
| Second Address | Jerome, ID 83338-1825 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/02/2009 |
| Last Update Date | 07/01/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000010171795 | BS (01) | ID |
| 808284700 | (05) | ID |
| NP311 | BC (01) | ID |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.