Provider Demographics
NPI:1770501397
Name:MELLE, ALISON (NP-C)
Entity type:Individual
Prefix:DR
First Name:ALISON
Middle Name:
Last Name:MELLE
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4028 N QUENZER WAY
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83646-5928
Mailing Address - Country:US
Mailing Address - Phone:208-398-9974
Mailing Address - Fax:
Practice Address - Street 1:9050 W OVERLAND RD STE 270
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83709-2724
Practice Address - Country:US
Practice Address - Phone:208-515-2991
Practice Address - Fax:877-737-6214
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2025-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID54856363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily