Individual provider · NPI-1
Melissa Dian Downs, RN
Registered Nurse, General Practice · Nampa, ID
NPI number1629762257
StatusActive
Last updated in NPPESJun 6, 2023
Details
- NPI
- 1629762257
- Entity type
- Individual (NPI-1)
- Name
- Melissa Dian Downs
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 6, 2023
- Certification date
- Jun 6, 2023
- Last updated
- Jun 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | 72847 | ID | Yes |
Practice location
2499 S Skyview DrNampa, ID 83686-8737
Phone 208-577-7483
Mailing address
2499 S Skyview DrNampa, ID 83686-8737
Phone 208-577-7483
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