Miller, Amanda Rea
Miller, Amanda Rea is an sole proprietor health care provider with primary practice located at 6805 Il 162 Suite 201, Maryville IL 62062. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Miller, Amanda Rea can be contacted via phone (618) 288-5019.Contact Information
Primary practice address
6805 Il 162 Suite 201
Maryville IL 62062
Phone: (618) 288-5019
Fax: (618) 288-5059
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 2025002297 | Missouri |
| Nursing Service Providers / Psychiatric/Mental Health | 163WP0808X | 2021007992 | Missouri |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 209032950 | Illinois |
Profile Details
| NPI number | 1194538074 |
|---|---|
| LBN Legal business name | Miller, Amanda Rea |
| Credentials | RN, MSN, PMHNP-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 27th, 2025 |
| Last updated | Oct 27th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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