Kayla Miller, | |
500 8th Ave Rm 205, Lewiston, ID 83501-2691 | |
(208) 792-2251 | |
(208) 792-2882 |
Full Name | Kayla Miller |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 500 8th Ave Rm 205, Lewiston, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972280592 | NPI | - | NPPES |
2255568 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 76807 (Idaho) | Primary |
Entity Name | St Joseph Hospital Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205368404 PECOS PAC ID: 8325325806 Enrollment ID: O20170606002496 |
Mailing Address | Practice Location Address |
---|---|
Kayla Miller, 341 Saint Johns Way, Lewiston, ID 83501-2436 Ph: (208) 750-7464 | Kayla Miller, 500 8th Ave Rm 205, Lewiston, ID 83501-2691 Ph: (208) 792-2251 |
Mrs. Nicole M Engledow, ARPN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 8th Ave, Lewiston, ID 83501 Phone: 208-792-2685 Fax: 208-792-2882 | |
Susan P Stutzman, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 215 10th St, Lewiston, ID 83501 Phone: 208-799-3100 Fax: 208-799-0349 | |
Anita Ringering, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 336 Warner Dr, Ste 4, Lewiston, ID 83501 Phone: 208-413-3835 | |
Robert Scott Mahal, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2315 8th St, Lewiston, ID 83501 Phone: 208-746-1383 Fax: 208-746-6348 | |
Spencer Godfrey, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1203 Idaho St, Lewiston, ID 83501 Phone: 208-848-8300 | |
Tracy Streibick Flynn, FNP, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1203 Idaho St, Lewiston, ID 83501 Phone: 208-848-8300 | |
Tayler Lyndsey Holman, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3428 5th St, Lewiston, ID 83501 Phone: 509-552-6674 |