SearchIdaho101YM0800X

Melissa Funston, LPC, CADC

NPI 1639701345 · on the registry since 2020

Practice

Address
1603 12th Ave Rd. Suite B
Nampa, ID 83686
Phone
(208) 442-0536
Organisation at this address
Wmcesa
Randall L. Rudeen Md Pa
Dynamic Surgical Care, Inc.
Gregory N Schaefer M.D., P.A.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-02-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho