Whitman, Myranda

Whitman, Myranda is an sole proprietor health care provider with primary practice located at 108 W Market St , Bloomington IL 61701-3918. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Whitman, Myranda can be contacted via phone (309) 827-5351.

Contact Information

Primary practice address
108 W Market St Bloomington IL 61701-3918
Phone: (309) 827-5351
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 209.024190 Illinois

Profile Details

NPI number 1841600608
LBN Legal business name Whitman, Myranda
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2014
Last updated Oct 13th, 2021 - about 3 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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