Provider Demographics
NPI:1588459028
Name:OVIATT, TEREN MILLER
Entity type:Individual
Prefix:MRS
First Name:TEREN
Middle Name:MILLER
Last Name:OVIATT
Suffix:
Gender:
Credentials:
Other - Prefix:MS
Other - First Name:TEREN
Other - Middle Name:JENNIFER
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1408 SANDAL CRK
Mailing Address - Street 2:
Mailing Address - City:NAMPA
Mailing Address - State:ID
Mailing Address - Zip Code:83686-5288
Mailing Address - Country:US
Mailing Address - Phone:435-749-2415
Mailing Address - Fax:
Practice Address - Street 1:148 S COLE RD
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83709-0932
Practice Address - Country:US
Practice Address - Phone:208-683-8320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker