IndividualActive
Amanda Miller, RN, MSN, PMHNP-BC
NPI 1194538074 · Psychiatric/Mental Health Nurse Practitioner · Maryville, IL
Provider details
- NPI number
- 1194538074
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RN, MSN, PMHNP-BC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2025002297 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
6805 Il 162
Suite 201
Maryville, IL 62062
Phone: (618) 288-5019
Fax: (618) 288-5059
Approximate (ZIP-level) locationGet directions
Mailing address
6805 Il 162
Maryville, IL 62062
Additional practice locations (1)
- 12303 Depaul Dr.Bridgeton, MO 63044Phone: (314) 344-6000
Registry dates
- Enumerated
- 2025-01-27
- Last updated
- 2025-10-27
- Certified
- 2025-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.