MELISSA ADELE WREN PERRY

BOISE, ID
NPI1902459266
Other NameADDIE PERRY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner Gerontology
(Licence: ID  61139)
Additional Taxonomies363LA2200X Nurse Practitioner Adult Health
(Licence: ID  61139)
Enumeration Date2019-07-16
Last Update Date2024-03-13
Business Address
MELISSA ADELE WREN PERRY NP
300 S 23RD ST
BOISE, ID 83702-9100
Phone number: 208-344-3512
Mailing Address
MELISSA ADELE WREN PERRY NP
PO BOX 9
NAMPA, ID 83653-0009
Phone number: 208-467-4431