Individual provider · Type 1 NPI
Miriam Manrique
Nurse Practitioner · La Grange Park, IL
Practice location
321 N La Grange Rd
La Grange Park, IL 60526-5622
Mailing address
5220 East Ave
Countryside, IL 60525-3133
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 209.029153 (IL) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1104686203
Miriam Manrique's National Provider Identifier is 1104686203, issued on Mar 19, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in La Grange Park, IL. The record was last updated on Aug 6, 2024.