PATRICIA L MINER NP NPI 1720005069

NPI Information

NPI: 1720005069
Provider Name: PATRICIA L MINER, NP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
2300 N ROCKTON AVE
ROCKFORD, IL
ZIP 61103
Phone: (815) 971-2000
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Patricia L Miner, NP is an adult health nurse practitioner in Rockford, IL. Patricia L Miner, NP NPI is 1720005069. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2300 N ROCKTON AVE
ROCKFORD, IL
ZIP 61103-619
Phone: (815) 971-2000

The enumeration date for this NPI number is 7/16/2006 and was last updated on 10/30/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health		ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	235264028001	MEDICAID	ILLINOIS
2	Q10611	MEDICARE UPIN	ILLINOIS
3	K04816	MEDICARE PIN	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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