Individual provider · Type 1 NPI
Myranda Whitman
Psychiatric/Mental Health Nurse Practitioner · Bloomington, IL
NPI number
1841600608
Active
Practice location
108 W Market St
Bloomington, IL 61701-3918
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Worker | 172V00000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 209.024190 (IL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1841600608
Myranda Whitman's National Provider Identifier is 1841600608, issued on May 2, 2014. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Bloomington, IL. The record was last updated on Oct 13, 2021.