Individual
MRS. HEIDI KRISTINA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
237 W WAVERLY ST, MORRIS, IL 60450-1334
(815) 941-0441
(815) 941-0472
Mailing address
725 SCHOOL ST STE A, MORRIS, IL 60450-1207
(815) 941-9124
(815) 941-4363
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
238.000315
IL
246ZC0007X
Surgical Assistant
238.000315
IL
363LF0000X
Family Nurse Practitioner
Primary
209021634
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209.021634
IL LICENSE
IL
Enumeration date
01/23/2012
Last updated
07/19/2022
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