Lisa M Miller

NPI #1194547836 in Pocatello, Idaho

Provider Information

NPI Number
1194547836
Entity Type
Organization
Organization Name
Lisa M Miller
Primary Specialty
Nurse Practitioner - Psychiatric/Mental Health
Enumeration Date
Oct 24, 2024
Last Updated
Oct 24, 2024

Practice Location

Address
1950 E CLARK ST STE 10
State
Idaho
ZIP Code
83201-3314
Phone
(208) 741-6159

Authorized Official

Name
LISA M MILLER, APRN
Title
OWNER
Phone
(208) 741-6159

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Psychiatric/Mental HealthPsychiatric/Mental Health

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