Individual provider · NPI-1

Heather Lynn Miller, cnm

Advanced Practice Midwife · Peru, IL

NPI number1306273685
StatusActive
Last updated in NPPESOct 2, 2013

Details

NPI
1306273685
Entity type
Individual (NPI-1)
Name
Heather Lynn Miller
Credential
cnm
Sex
Female
Sole proprietor
No
Enumeration date
Oct 2, 2013
Last updated
Oct 2, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367A00000X Advanced Practice Midwife209.010642ILYes

Practice location

1305 6th St
Peru, IL 61354-2759

Phone 815-223-2944 · Fax 815-223-2407

Mailing address

1305 6th St
Peru, IL 61354-2759

Phone 815-223-2944 · Fax 815-223-2407

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