Individual
MRS. NANCY NORINE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2275 S EAGLE RD STE 201, MERIDIAN, ID 83642-5079
(208) 514-2520
(208) 375-2217
Mailing address
777 N RAYMOND ST, BOISE, ID 83704-9251
(208) 514-2500
(208) 375-2217
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
NP708A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010151591
BLUE SHIELD
—
05
—
1164411864
—
ID
01
—
NPVM7
BLUE CROSS
ID
Enumeration date
10/17/2005
Last updated
12/15/2023
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