Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mackenzie Andrew Miller

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1437094067

Mackenzie Andrew Miller is a Student in an Organized Health Care Education/Training Program in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2026.

Licensed in
IL
In the registry since
2026

Practice location Address checks out

530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone: (304) 575-1473
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (IL)

Record details

NPI number1437094067
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 21, 2026
Last updated in NPPESApril 21, 2026
Certification dateApril 18, 2026
Mailing address1310 Enslow Blvd, Huntington, WV 25701-4018

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