Organization · Type 2 NPI

Lisa M Miller

Psychiatric/Mental Health Nurse Practitioner · Pocatello, ID

NPI number 1194547836 Active

Practice location

1950 E Clark St Ste 10
Pocatello, ID 83201-3314

Mailing address

941 Castle St
Chubbuck, ID 83202-3010

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNone listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1194547836

Lisa M Miller's National Provider Identifier is 1194547836, issued on Oct 24, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Pocatello, ID. The record was last updated on Oct 24, 2024.