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Broda L Miller, LPN
Licensed Practical Nurse in Quincy, Illinois
NPI 1649043753

Broda L Miller is a Licensed Practical Nurse based in Saint Charles, IL. Broda L Miller practices in Quincy, IL and has the professional credentials of LPN. The NPI Number for Broda L Miller is 1649043753 and holds a License No. 043089365 (Illinois).

The current practice location address for Broda L Miller is 639 York St Rm 212, Quincy, IL and can be reached out via phone at 217-222-6277. You can also correspond with Broda L Miller through the mailing address at 1601 OLD SOUTH RIVER RD, SAINT CHARLES, MO - 63303-4120 (mailing address contact number: 636-224-1210).

Location: 639 York St Rm 212, Quincy, IL, 63303-4120
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649043753
Provider Name
Broda L Miller
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
639 York St Rm 212, Quincy, IL, 63303-4120
Phone Number
217-222-6277
Fax Number
Provider Enumeration Date
10/31/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
639 York St Rm 212
City
Quincy
State
Illinois
Zip
62301-3919
Phone Number
217-222-6277
Fax Number
person
Provider Business Mailing Address Details
Address
639 York St Rm 212
City
Quincy
State
Illinois
Zip
62301-3919
Phone Number
217-222-6277
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
043089365 (Illinois)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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