Individual
STEVIE MARIE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5274 KYMBALL DR, CHUBBUCK, ID 83202-4712
(208) 240-8137
Mailing address
5274 KYMBALL DR, CHUBBUCK, ID 83202-4712
(208) 240-8137
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
70461
ID
Other
Enumeration date
11/04/2021
Last updated
11/04/2021
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