Gareth T Miller, APRN
Nurse Practitioner, Acute Care in Mattoon, IL. Individual provider (NPI-1).
NPI number1831910751
StatusActive
Last updated in NPPESFeb 26, 2025
Details
- NPI
- 1831910751
- Entity type
- Individual (NPI-1)
- Name
- Gareth T Miller
- Credential
- APRN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 23, 2024
- Certification date
- Feb 26, 2025
- Last updated
- Feb 26, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | 209-030833 | IL | Yes |
Practice location
1004 Health Center Dr Ste 100Mattoon, IL 61938-4607
Phone 217-238-3435 · Fax 217-238-3492
Mailing address
Po Box 372Mattoon, IL 61938-0372
Other practice locations
1303 W Evergreen Ave Ste 200
Effingham, IL 62401-1638
Effingham, IL 62401-1638
Phone 217-342-3400 · Fax 217-342-6417
1000 Health Center Dr
Mattoon, IL 61938-4644
Mattoon, IL 61938-4644
Phone 217-238-4325 · Fax 217-348-4290
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