Individual provider · Type 1 NPI
Stevie Marie Miller
Family Nurse Practitioner · Chubbuck, ID
NPI number
1366107245
Active
Practice location
5274 Kymball Dr
Chubbuck, ID 83202-4712
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 70461 (ID) |
Family Nurse Practitioner: Definition to come...
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About NPI 1366107245
Stevie Marie Miller's National Provider Identifier is 1366107245, issued on Nov 4, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chubbuck, ID. The record was last updated on Nov 4, 2021.