MRS. NANCY NORINE MILLER NP NPI 1164411864

NPI Information

NPI: 1164411864
Provider Name: MRS. NANCY NORINE MILLER, NP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
2275 S EAGLE RD STE 201
MERIDIAN, ID
ZIP 83642
Phone: (208) 514-2520
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MRS. Nancy Norine Miller, NP is a pediatrics nurse practitioner in Meridian, ID with 19 years of experience. MRS. Nancy Norine Miller, NP NPI is 1164411864. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2275 S EAGLE RD STE 201
MERIDIAN, ID
ZIP 83642-079
Phone: (208) 514-2520
Fax: (208) 375-2217

The NPI 1164411864 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/17/2005 and was last updated on 12/15/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	NP708A	IDAHO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NPVM7	OTHER	IDAHO	BLUE CROSS
2	000010151591	OTHER		BLUE SHIELD
3	1164411864	MEDICAID	IDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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