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Individual
MOLLY MILLER
Active
Individual
MOLLY MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209029018
IL
363LF0000X
Family Nurse Practitioner
Primary
209.029018
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209029018
LICENSE
IL
Enumeration date
01/23/2024
Last updated
04/22/2026
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