Individual
ANTOINETTE MARIE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3331 W DEYOUNG ST STE 301, MARION, IL 62959-5898
(618) 998-7239
(618) 998-4365
Mailing address
3331 W DEYOUNG ST STE 301, MARION, IL 62959-5898
(618) 998-7239
(618) 998-4365
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209015920
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053854729
—
IL
Enumeration date
11/29/2016
Last updated
06/05/2025
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