Individual
HEATHER DENISE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
865 BENEDETTI DR APT 202, NAPERVILLE, IL 60563-8933
(773) 490-7813
Mailing address
865 BENEDETTI DR APT 202, NAPERVILLE, IL 60563-8933
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209019062
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
11/21/2019
Last updated
11/21/2019
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