Michael Philip Gilliam, CPNP

Individual Active
NPI 1487587481
Pediatric Nurse Practitioner Nampa, ID

NPI 1487587481 belongs to Michael Philip Gilliam, CPNP, a pediatric nurse practitioner with a practice location in Nampa, ID. The NPI was issued on June 8, 2026, and the record was last updated in NPPES on October 6, 2026.

Taxonomies and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X 5481515 (ID)

Practice location

9850 W St Lukes Dr
Nampa, ID 83687-7912
Phone: (208) 205-7820

Local context

Active NPPES records list 43 providers with pediatric nurse practitioner as the primary taxonomy within 25 miles of this practice location's ZIP code, 16 of them within 10 miles.

The same primary taxonomy is listed by 67 in Idaho and 24,071 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Michael Philip Abracosa Gilliam
Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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