Individual
KAYLA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 6TH ST STE 3C, LEWISTON, ID 83501-2431
(208) 750-7300
(208) 746-4899
Mailing address
415 6TH STREET, ATTN: PHYSICIAN SERVICES, LEWISTON, ID 83501-2424
(208) 750-7462
(208) 750-7467
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
76807
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972280592
—
ID
05
—
2255568
—
WA
Enumeration date
07/05/2023
Last updated
12/26/2024
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