MELISSA GAYLE SULLIVAN

MERIDIAN, ID
NPI1750255469
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: ID  1271084)
Enumeration Date2025-10-03
Last Update Date2025-10-03
Business Address
MELISSA GAYLE SULLIVAN PMHNP
203 W REDGRAVE DR
MERIDIAN, ID 83646-0011
Phone number: 986-200-1006
Mailing Address
MELISSA GAYLE SULLIVAN PMHNP
203 W REDGRAVE DR
MERIDIAN, ID 83646-0011
Phone number:
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