Most Relevant Information
Provider Data
| NPI Number: | 1003205600 |
| Provider Name: | AMY MINER APN-CNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 209012440 |
Most Important Dates
| Enumeration Date: | 01/20/2015 |
| Last Updated: | 08/09/2022 |
Provider Practice Location
1875 DEMPSTER ST
PARK RIDGE
IL
600681186
Practice Location Phone/Fax
| Phone: | 8447255238 |
| Fax: | 8477232791 |
Provider Mailing Location
29373 NETWORK PL
CHICAGO
IL
606731293
Provider Mailing Phone/Fax
| Phone: | 8473905900 |
| Fax: |