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:
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Health care specialties

SpecialtyCodeLicense #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 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164411864 NPPES
Idaho Other NPVM7 BLUE CROSS
Idaho Other 000010151591 BLUE CROSS
Idaho MEDICAID 1164411864 BLUE CROSS

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