Healthcare Provider Details

I. General information

NPI: 1376461616
Provider Name (Legal Business Name): WHITNEY MILLER AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 N 2ND ST STE 201
BOISE ID
83702-6078
US

IV. Provider business mailing address

190 E BANNOCK ST
BOISE ID
83712-6241
US

V. Phone/Fax

Practice location:
  • Phone: 208-385-3440
  • Fax: 208-385-3441
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number6981616
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: