Miller, Brenda K

Miller, Brenda K is an individual health care provider with primary practice located at 705 Ne Jefferson Ave , Peoria IL 61603-3843. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Miller, Brenda K can be contacted via phone (309) 673-0907.

Contact Information

Primary practice address
705 Ne Jefferson Ave Peoria IL 61603-3843
Phone: (309) 673-0907
Fax: (309) 673-6914
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 209-001737 Illinois

Profile Details

NPI number 1407828395
LBN Legal business name Miller, Brenda K
Credentials APN RNC NP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Jul 8th, 2007 - about 19 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1407828395 NPPES
Illinois Other 209001737 APN LICENSE
Illinois Other 041289753 APN LICENSE

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