MICHAEL PHILIP ABRACOSA GILLIAM CPNP - NPI 1487587481

Q: What is Michael Philip Gilliam's NPI number?

The NPI number for Michael Philip Gilliam is 1487587481. It was assigned to this individual provider in the NPPES registry on June 8, 2026.

Q: What is Michael Philip Gilliam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

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About Michael Philip Abracosa Gilliam Cpnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL PHILIP ABRACOSA GILLIAM CPNP (NPI 1487587481) is an individual pediatrics provider in Boise, Idaho, licensed in Idaho (5481515) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1487587481

Entity TypeIndividualMale

Primary Taxonomy363LP0200X

Provider Legal NameMICHAEL PHILIP ABRACOSA GILLIAMCredential: CPNP

Location Address190 E BANNOCK STBoise, ID 83712-6241

Mailing Address190 E Bannock StBoise, ID 83712-6241 · (208) 861-9365

Phone(208) 381-2222

Sole ProprietorYes

Enumeration DateJune 8, 2026

NPPES CertifiedJune 8, 2026

✔ NPI 1487587481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in ID · 5481515

190 E BANNOCK ST, Boise, ID 83712

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORA M SUAREZ NP

Nurse Practitioner (Neonatal, Critical Care)