Healthcare Provider Details

I. General information

NPI: 1265303440
Provider Name (Legal Business Name): ANGELA MELBIHESS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/12/2025
Last Update Date: 09/12/2025
Certification Date: 09/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1055 N CURTIS RD
BOISE ID
83706-1309
US

IV. Provider business mailing address

11864 N HUMPHREYS WAY
BOISE ID
83714-9345
US

V. Phone/Fax

Practice location:
  • Phone: 208-367-3178
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License NumberP6203
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: