Individual
DEVIN ALAN MILLIRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1115 12TH AVE RD, NAMPA, ID 83686-5738
(084) 981-0802
(208) 498-1081
Mailing address
PO BOX 191050, BOISE, ID 83719-1050
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
R201680
MD
363LF0000X
Family Nurse Practitioner
Primary
74159
ID
Other
Enumeration date
05/23/2022
Last updated
12/08/2023
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