Miller, Nancy Norine
Miller, Nancy Norine is an individual health care provider with primary practice located at 2275 S Eagle Rd Ste 201 , Meridian ID 83642-5079. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Miller, Nancy Norine can be contacted via phone (208) 514-2520.Contact Information
Primary practice address
2275 S Eagle Rd Ste 201
Meridian ID 83642-5079
Phone: (208) 514-2520
Fax: (208) 375-2217
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | NP708A | Idaho |
Profile Details
| NPI number | 1164411864 |
|---|---|
| LBN Legal business name | Miller, Nancy Norine |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2005 |
| Last updated | Dec 15th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164411864 | NPPES |
| Idaho | Other | NPVM7 | BLUE CROSS |
| Idaho | Other | 000010151591 | BLUE CROSS |
| Idaho | MEDICAID | 1164411864 | BLUE CROSS |
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