Individual
TAMI ANNE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1907 S BROADWAY AVE STE 101, BOISE, ID 83706-4229
(208) 345-1222
(208) 345-1261
Mailing address
PO BOX 191050, BOISE, ID 83719-1050
(208) 955-6500
(208) 955-6501
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10055077
OR
363L00000X
Nurse Practitioner
77988
ID
Other
Enumeration date
10/01/2019
Last updated
03/03/2026
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