Miller, Alisha Lauren

Miller, Alisha Lauren is an individual health care provider with primary practice located at 450 W State St Ste 100 , Eagle ID 83616-7055. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Miller, Alisha Lauren can be contacted via phone (208) 939-1035.

Contact Information

Primary practice address
450 W State St Ste 100 Eagle ID 83616-7055
Fax: (208) 939-8970
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP-1633A Idaho

Profile Details

NPI number 1205207313
LBN Legal business name Miller, Alisha Lauren
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2015
Last updated Oct 14th, 2015 - about 9 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.

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