Miller, Courtney Stanford

Miller, Courtney Stanford is an individual health care provider with primary practice located at 20060 Governors Dr Suite 102, Olympia Fields IL 60461-1029. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Miller, Courtney Stanford can be contacted via phone (815) 824-4406.

Contact Information

Primary practice address
20060 Governors Dr Suite 102 Olympia Fields IL 60461-1029
Phone: (815) 824-4406
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209013548 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704276415 Michigan

Profile Details

NPI number 1629435060
LBN Legal business name Miller, Courtney Stanford
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2016
Last updated Feb 6th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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