Individual
TYANNA M MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2501
(217) 383-3266
(217) 383-3463
Mailing address
611 W PARK ST, URBANA, IL 61801-2501
(217) 383-3311
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
041601005
IL
363LN0000X
Neonatal Nurse Practitioner
Primary
209034893
IL
Other
Enumeration date
02/24/2026
Last updated
04/02/2026
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