Individual
MICHELLE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1520 S 4TH ST, GREENVILLE, IL 62246-2618
(618) 664-1455
(618) 664-1374
Mailing address
1520 S 4TH ST, GREENVILLE, IL 62246-2618
(618) 664-1455
(618) 664-1374
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
041.273351
IL
Other
Enumeration date
01/21/2015
Last updated
01/21/2015
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