NPI 1649355447 · live from the CMS NPI Registry
Melissa Mae Hagman, MD
Internal Medicine, Hospice and Palliative Medicine in Boise, ID. National Provider Identifier 1649355447, active.
NPI record
| NPI | 1649355447 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Hospice and Palliative Medicine 207RH0002X |
| Practice location | 500 W. Fort St, # 111r, Boise, ID 83702 |
| Practice phone | 208-422-1000 |
| Enumerated | October 27, 2006 |
| Last updated | March 11, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | MD00040136 (WA) |
| Internal Medicine, Hospice and Palliative Medicine | 207RH0002X | MD00040136 (WA) |
| Internal Medicine, Hospice and Palliative Medicine primary | 207RH0002X | M-11626 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.