Individual
NOELLE H MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
8201 E RIVERSIDE BLVD, ROCKFORD, IL 61114-2300
(815) 971-5000
Mailing address
8201 E RIVERSIDE BLVD, ROCKFORD, IL 61114-2300
(815) 971-7150
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.023720
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209.023720
STATE OF ILLINOIS LICENSE
IL
Enumeration date
08/02/2021
Last updated
08/02/2021
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