Individual
MRS. ELISABETH JANETTE MIWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, AGNP-C
Contact information
Practice address
719 W NORTH AVE, MELROSE PARK, IL 60160-1612
(888) 584-7888
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.021767
IL
Other
Enumeration date
11/19/2020
Last updated
05/07/2021
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