Individual provider · Type 1 NPI

Melissa Marie Pannell, RN FNP-BC

Nurse Practitioner · Meridian, ID

NPI number 1053756403 Active

Practice location

3280 E Lanark Dr
Meridian, ID 83642-5982

Fax (208) 955-0494

Mailing address

10482 W Carlton Bay Dr
Garden City, ID 83714-5143

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X1971656 (ID)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1053756403

Melissa Marie Pannell, RN FNP-BC's National Provider Identifier is 1053756403, issued on Apr 29, 2013. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Meridian, ID. The record was last updated on Jun 18, 2026.