OrganizationActive
St. Luke'S Treasure Valley Pediatrics
NPI 1396121349 · Primary Care Clinic/Center · Eagle, ID
Provider details
- NPI number
- 1396121349
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Alisha Miller, Family Nurse Practitioner(208) 939-1035
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
450 W State St Ste 100
Eagle, ID 83616-7055
Phone: (208) 939-1035
Fax: (208) 939-8970
Approximate (ZIP-level) locationGet directions
Mailing address
450 W State St Ste 100
Eagle, ID 83616-7055
Registry dates
- Enumerated
- 2015-07-31
- Last updated
- 2015-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.