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Miriam Manrique
Nurse Practitioner in La Grange, Illinois
NPI 1104686203

Miriam Manrique is a Nurse Practitioner based in Countryside, IL. Miriam Manrique practices in La Grange, IL. The NPI Number for Miriam Manrique is 1104686203 and holds a License No. 209.029153 (Illinois).

The current practice location address for Miriam Manrique is 110 W Calendar Ave, La Grange, IL and can be reached out via phone at 708-745-5277.

Location: 110 W Calendar Ave, La Grange, IL, 60525-3133
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104686203
Provider Name
Miriam Manrique
Credential
Provider Entity Type
Individual
Gender
Female
Address
110 W Calendar Ave, La Grange, IL, 60525-3133
Phone Number
708-745-5277
Fax Number
Provider Enumeration Date
03/19/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
110 W Calendar Ave
City
La Grange
State
Illinois
Zip
60525-2325
Phone Number
708-745-5277
Fax Number
person
Provider Business Mailing Address Details
Address
110 W Calendar Ave
City
La Grange
State
Illinois
Zip
60525-2325
Phone Number
708-745-5277
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
209.029153 (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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