MRS. HEIDI KRISTINA MILLER APN NPI 1568733541

NPI Information

NPI: 1568733541
Provider Name: MRS. HEIDI KRISTINA MILLER, APN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
237 W WAVERLY ST
MORRIS, IL
ZIP 60450
Phone: (815) 941-0441
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MRS. Heidi Kristina Miller, APN is a family nurse practitioner in Morris, IL with 4 years of experience. MRS. Heidi Kristina Miller, APN NPI is 1568733541. 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:

237 W WAVERLY ST
MORRIS, IL
ZIP 60450-334
Phone: (815) 941-0441
Fax: (815) 941-0472

The NPI 1568733541 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/23/2012 and was last updated on 7/19/2022.

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	363LF0000X	Nurse Practitioner	Family	209021634	ILLINOIS	Yes
2	246ZC0007X	Specialist/Technologist, Other	Surgical Assistant	238.000315	ILLINOIS	No
3	163WR0006X	Registered Nurse	Registered Nurse First Assistant	238.000315	ILLINOIS	No

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	Other Provider Identifier Issuer
1	209.021634	OTHER	ILLINOIS	IL LICENSE

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: 4/28/2024

NPI Synchronization or Removal

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