Moss, Melanie Jane
Moss, Melanie Jane is an sole proprietor health care provider with primary practice located at 1296 E Polston Ave Ste C , Post Falls ID 83854-5217. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Moss, Melanie Jane can be contacted via phone (208) 625-6700.Contact Information
Primary practice address
1296 E Polston Ave Ste C
Post Falls ID 83854-5217
Phone: (208) 625-6700
Fax: (208) 625-6701
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1827 | Idaho |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA1827 | Idaho |
Profile Details
| NPI number | 1548736960 |
|---|---|
| LBN Legal business name | Moss, Melanie Jane |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 23rd, 2018 |
| Last updated | Jul 28th, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548736960 | NPPES |
| Idaho | Other | CS56802 | CONTROLLED SUBSTANCE |
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