BETHANY JOY MELLO

EAGLE, ID
NPI1033479696
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  1639A)
Additional Taxonomies163W00000X Registered Nurse
(Licence: ID  51084)
Enumeration Date2012-05-16
Last Update Date2016-01-14
Business Address
-- BETHANY JOY MELLO NP-c
951 E PLAZA DR STE 170
EAGLE, ID 83616-6569
Phone number: 208-939-3505
Mailing Address
-- BETHANY JOY MELLO NP-c
951 E PLAZA DR STE 170
EAGLE, ID 83616-6569
Phone number: 208-939-3505