Individual
MS. PATRICIA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
241 W WEAVER RD, SUITE 240, FORSYTH, IL 62535-9762
(217) 876-6350
(217) 876-6355
Mailing address
2300 N EDWARD ST, GSBLL, DECATUR, IL 62526-4163
(217) 876-2857
(217) 876-2874
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
041-129386
IL
Other
Enumeration date
12/13/2006
Last updated
09/04/2014
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