Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

St Luke's Treasure Valley Pediatrics

Organization Primary Care Clinic/Center · NPI 1396121349

St Luke's Treasure Valley Pediatrics is a Primary Care Clinic/Center in Eagle, Idaho. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

450 W State St Ste 100
Eagle, ID 83616-7055
Phone: (208) 939-1035
Fax: (208) 939-8970
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1396121349
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alisha Miller — Family Nurse Practitioner · (208) 939-1035
NPI enumeratedJuly 31, 2015
Last updated in NPPESJuly 31, 2015
Mailing address450 W State St Ste 100, Eagle, ID 83616-7055

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