Miller, Michael Ryan

Miller, Michael Ryan is an individual health care provider with primary practice located at 14826 Claymore , Bloomington IL 61705-1000. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Miller, Michael Ryan can be contacted via phone (309) 294-5649.

Contact Information

Primary practice address
14826 Claymore Bloomington IL 61705-1000
Phone: (309) 294-5649
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 041397136 Illinois
Nursing Service Providers / Registered Nurse 163W00000X 2009007215 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 2011012309 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209009116 Illinois

Profile Details

NPI number 1730470493
LBN Legal business name Miller, Michael Ryan
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2011
Last updated Feb 1st, 2024 - about 7 months 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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