Individual provider · NPI-1

Elizabeth Ashley Miller, RN

Registered Nurse, General Practice · Nampa, ID

NPI number1386253748
StatusActive
Last updated in NPPESJul 30, 2020

Details

NPI
1386253748
Entity type
Individual (NPI-1)
Name
Elizabeth Ashley Miller
Credential
RN
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 30, 2020
Certification date
Jul 30, 2020
Last updated
Jul 30, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WG0000X Registered Nurse, General Practice45647IDYes

Practice location

2068 W Bella Ln
Nampa, ID 83651-4896

Phone 208-954-4662

Mailing address

2068 W Bella Ln
Nampa, ID 83651-4896

Phone 208-954-4662

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