MEDICARE: MELISSA M STROBECK BSN RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251J00000X	Nursing Care Agency	73027	ID

General Provider Information

NPI Number	:	1649139148
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA M STROBECK BSN RN

Provider Business Mailing Address
First Line	:	7190 N WINTER VIEW DR
Second Line	:
City	:	COEUR D ALENE
State	:	ID
Zip	:	83815-9191
Country	:	US
Telephone Number	:	208-964-5492
Fax Number	:

Provider Business Practice Location Address
First Line	:	7190 N WINTER VIEW DR
Second Line	:
City	:	COEUR D ALENE
State	:	ID
Zip	:	83815-9191
Country	:	US
Telephone Number	:	208-964-5492
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2026
Last Update Date	:	01/20/2026

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