Individual provider · Type 1 NPI

Mikayla Dawn Miller, PA-C

Physician Assistant · Fruitland, ID

NPI number 1336821891 Active

Practice location

910 NW 16th St Ste 205
Fruitland, ID 83619-2265

Fax (208) 452-8111

Mailing address

PO Box 190930
Boise, ID 83719-0930

Other practice locations

  • 510 N 2nd St Ste 103, Boise, ID 83702-6081 · (208) 381-4700

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

2 other providers at this address

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About NPI 1336821891

Mikayla Dawn Miller, PA-C's National Provider Identifier is 1336821891, issued on Aug 3, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fruitland, ID. The record was last updated on Feb 6, 2026.