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Shania Miller

NPI 1235091919 · on the registry since 2025

Practice

Address
2507 Sunset Dr
Lewiston, ID 83501
Phone
(208) 553-5331

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-12-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho