Tracey Deann Miller APRN

NPI 1942210208 - Nurse Practitioner - 363LP2300X

NPI Details
NPI 1942210208
Gender Female
Enumeration Date 08/09/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
500 W FORT ST
BOISE ID, 83702-4501, US
Phone (208) 422-1000
Fax (208) 422-1953
Business Location
500 W FORT ST
BOISE ID, 83702-4501, US
Phone (208) 422-1000
Fax (208) 422-1053
Toxanomy
Taxonomy Code 363LP2300X
License State Idaho
License Number NP 626A
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According to our database, Tracey Deann Miller APRN NPI is 1942210208, taxonomy code is 363LP2300X and license number is NP 626A, license state is located at Idaho. Tracey Deann Miller APRN physically located at 500 W Fort St, Boise ID, 83702-4501. NPI Number Tracey Deann Miller APRN has the Individual type.

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1942210208 NPI number is provided on an as is basis without warranty of any kind. 1942210208 is maintained by the National Plan & Provider Enumeration System. The contents of Tracey Deann Miller APRN are for informational purposes only.