Individual
KINDRA MIILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1055 N CURTIS ROAD, BOISE, ID 83706
(208) 367-7950
(208) 367-3951
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 367-7950
(208) 367-3951
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP60495434
WA
363LF0000X
Family Nurse Practitioner
Primary
NP-1445A
ID
Other
Enumeration date
07/02/2014
Last updated
11/29/2016
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