IndividualActive
Melissa Perry, NP
NPI 1902459266 · Gerontology Nurse Practitioner · Boise, ID
Provider details
- NPI number
- 1902459266
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 61139 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
300 S 23rd St
Boise, ID 83702-9100
Phone: (208) 344-3512
Fax: (208) 466-5359
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 9
Nampa, ID 83653-0009
Registry dates
- Enumerated
- 2019-07-16
- Last updated
- 2024-03-13
- Certified
- 2024-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.