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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407828395 | NPPES |
| Illinois | Other | 209001737 | APN LICENSE |
| Illinois | Other | 041289753 | APN LICENSE |
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