Milliron, Anastasia Brooke
Milliron, Anastasia Brooke is an individual health care provider with primary practice located at 4521 Thomas Jefferson St , Caldwell ID 83605. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Milliron, Anastasia Brooke can be contacted via phone (208) 454-4820.Contact Information
Primary practice address
4521 Thomas Jefferson St
Caldwell ID 83605
Phone: (208) 454-4820
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | NP987-A | Idaho |
Profile Details
| NPI number | 1669792859 |
|---|---|
| LBN Legal business name | Milliron, Anastasia Brooke |
| Credentials | NPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2010 |
| Last updated | Mar 23rd, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669792859 | NPPES |
| Idaho | MEDICAID | 003399100 | |
| Idaho | MEDICAID | 1669792859 |
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