IndividualActive
Abigail Miller
NPI 1861103137 · Psychiatric/Mental Health Nurse Practitioner · Belleville, IL
Provider details
- NPI number
- 1861103137
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 2023033314 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
111 N 81st St
Belleville, IL 62223-2445
Phone: (804) 543-5105
Approximate (ZIP-level) locationGet directions
Mailing address
111 N 81st St
Belleville, IL 62223-2445
Registry dates
- Enumerated
- 2022-12-07
- Last updated
- 2023-08-18
- Certified
- 2023-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.