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Antoinette Marie Miller, NP
Nurse Practitioner in Herrin, Illinois
NPI 1053854729

Antoinette Marie Miller is a Nurse Practitioner based in Carbondale, IL. Antoinette Marie Miller practices in Herrin, IL and has the professional credentials of NP. The NPI Number for Antoinette Marie Miller is 1053854729 and holds a License No. 209015920 (Illinois).

The current practice location address for Antoinette Marie Miller is 404 Lincoln Dr, Herrin, IL and can be reached out via phone at 189-970-1666 and via fax at 618-998-8055.

Location: 404 Lincoln Dr, Herrin, IL, 62902-3988
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053854729
Provider Name
Antoinette Marie Miller
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
404 Lincoln Dr, Herrin, IL, 62902-3988
Phone Number
189-970-1666
Fax Number
618-998-8055
Provider Enumeration Date
11/29/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1053854729 05 IL
institution
Provider Business Practice Location Address Details
Address
404 Lincoln Dr
City
Herrin
State
Illinois
Zip
62948
Phone Number
189-970-1666
Fax Number
618-998-8055
person
Provider Business Mailing Address Details
Address
404 Lincoln Dr
City
Herrin
State
Illinois
Zip
62948
Phone Number
189-970-1666
Fax Number
618-998-8055
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
209015920 (Illinois)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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