Individual provider · Type 1 NPI

Katylynn Ann Dizdarevic-Miller, MD

Family Medicine Physician · Nampa, ID

NPI number 1104568237 Active

Practice location

9850 W St Lukes Dr
Nampa, ID 83687-7912

Call (208) 463-7300 Map

Fax (208) 463-7301

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Other practice locations

  • 1919 Lincoln Way Ste 315, Coeur D Alene, ID 83814-2527 · (208) 625-6000

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Family Medicine Physician Primary 207Q00000XM17436 (ID)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1104568237

Katylynn Ann Dizdarevic-Miller, MD's National Provider Identifier is 1104568237, issued on Apr 9, 2022. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Nampa, ID. The record was last updated on Aug 6, 2025.