person
Lisa Marie Miller, CNP,PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Pocatello, Idaho
NPI 1356094148

Lisa Marie Miller is a Psychiatric/Mental Health Nurse Practitioner based in Pocatello, ID and is specialized in Psychiatric/Mental Health. Lisa Marie Miller practices in Pocatello, ID and has the professional credentials of CNP,PMHNP-BC. The NPI Number for Lisa Marie Miller is 1356094148 and holds a License No. 70995 (Idaho).

The current practice location address for Lisa Marie Miller is 415 N 3Rd Ave Ste B, Pocatello, ID and can be reached out via phone at 208-646-4165.

Location: 415 N 3Rd Ave Ste B, Pocatello, ID, 83201-6306
person
Provider Profile Details
NPI Number
1356094148
Provider Name
Lisa Marie Miller
Credential
CNP,PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
415 N 3Rd Ave Ste B, Pocatello, ID, 83201-6306
Phone Number
208-646-4165
Fax Number
Provider Enumeration Date
02/01/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
415 N 3Rd Ave Ste B
City
State
Zip
83201-6306
Phone Number
208-646-4165
Fax Number
person
Provider Business Mailing Address Details
Address
415 N 3Rd Ave Ste B
City
State
Zip
83201-6306
Phone Number
208-646-4165
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
70995 (Idaho)
Definition
Definition to come...
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