Individual
BETH ELISHA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
420 N 2ND AVE, SANDPOINT, ID 83864-1565
(208) 263-0450
(208) 265-0556
Mailing address
420 N 2ND AVE, SANDPOINT, ID 83864-1565
(208) 263-0450
(208) 263-0450
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
51505
CA
363AM0700X
Medical Physician Assistant
Primary
PA60799608
WA
363AM0700X
Medical Physician Assistant
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—
Other
Enumeration date
03/20/2014
Last updated
04/07/2020
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