Individual
SHANIA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
2507 SUNSET DR, LEWISTON, ID 83501-3440
(208) 553-5331
Mailing address
2507 SUNSET DR, LEWISTON, ID 83501-3440
(208) 553-5331
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
61074159
WA
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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