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

Michael Philip Abracosa Gilliam, CPNP

Individual provider Pediatric Nurse Practitioner · NPI 1487587481

Michael Philip Abracosa Gilliam, CPNP is a Pediatric Nurse Practitioner in Boise, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2026
What do these letters mean?
CPNP — Certified Pediatric Nurse Practitioner
A nurse practitioner certified in paediatrics.

See every abbreviation used in this directory →

Practice location Address checks out

190 E Bannock St
Boise, ID 83712-6241
Phone: (208) 381-2222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 5481515 (ID)

Record details

NPI number1487587481
Entity typeIndividual (Type 1)
GenderMale
Credentials CPNP
Sole proprietorYes
NPI enumeratedJune 8, 2026
Last updated in NPPESJune 8, 2026
Certification dateJune 8, 2026

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