Miller, Lisa Marie

Miller, Lisa Marie is an individual health care provider with primary practice located at 415 N 3Rd Ave Ste B , Pocatello ID 83201-6306. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Miller, Lisa Marie can be contacted via phone (208) 646-4165.

Contact Information

Primary practice address
415 N 3Rd Ave Ste B Pocatello ID 83201-6306
Phone: (208) 646-4165
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 70995 Idaho

Profile Details

NPI number 1356094148
LBN Legal business name Miller, Lisa Marie
Credentials CNP, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2022
Last updated Aug 2nd, 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.

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