Black, Melissa Marie

Black, Melissa Marie is an individual health care provider with primary practice located at 37 S 2Nd E , Rexburg ID 83440-1906. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Black, Melissa Marie can be contacted via phone (208) 356-0234.

Contact Information

Primary practice address
37 S 2Nd E Rexburg ID 83440-1906
Phone: (208) 356-0234
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 59333 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 59333 Idaho

Profile Details

NPI number 1659077238
LBN Legal business name Black, Melissa Marie
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2023
Last updated Feb 6th, 2023 - about 3 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.

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