Individual provider · Type 1 NPI

Julie K. Miyamasu, APN-CNP

Nurse Practitioner · Villa Park, IL

NPI number 1669410080 Active

Practice location

200 E Roosevelt Rd
Villa Park, IL 60181-3500

Call (800) 323-8622 Map

Mailing address

PO Box 735044
Chicago, IL 60673-5044

Other practice locations

  • 4101 1st Ave, Lyons, IL 60534-1028 · (800) 323-8622

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X209-005257 (IL)
Family Nurse Practitioner 363LF0000X277-000556 (IL)
Nurse Practitioner 363L00000X103439-875 (WI)
Nurse Practitioner 363L00000X277-000556 (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…

13 other providers at this address

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About NPI 1669410080

Julie K. Miyamasu, APN-CNP's National Provider Identifier is 1669410080, issued on Jun 4, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Villa Park, IL. The record was last updated on Jan 29, 2026.