IndividualActive
Taylor Mello
NPI 1356959100 · Pediatric Nurse Practitioner · Boise, ID
Provider details
- NPI number
- 1356959100
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 63863 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2770 N Woodview Pl
Boise, ID 83702-6541
Phone: (208) 340-5533
Approximate (ZIP-level) locationGet directions
Mailing address
2770 N Woodview Pl
Boise, ID 83702-6541
Registry dates
- Enumerated
- 2020-07-17
- Last updated
- 2020-07-17
- Certified
- 2020-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.