Individual provider · Type 1 NPI

Tami Anne Miller

Nurse Practitioner · Boise, ID

NPI number 1174164263 Active

Practice location

1907 S Broadway Ave Ste 101
Boise, ID 83706-4229

Fax (208) 345-1261

Mailing address

PO Box 191050
Boise, ID 83719-1050

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X77988 (ID)
Nurse Practitioner Primary 363L00000X10055077 (OR)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1174164263

Tami Anne Miller's National Provider Identifier is 1174164263, issued on Oct 1, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Boise, ID. The record was last updated on Mar 3, 2026.