Myranda Whitman
Myranda Whitman is a Community Health Worker in Bloomington, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2014
- Specialties on file
- 2
Practice location Address checks out
108 W Market StBloomington, IL 61701-3918
Phone: (309) 827-5351
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 209.024190 (IL) |
|---|---|
| Community Health Worker | Taxonomy 172V00000X |
Record details
| NPI number | 1841600608 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 2, 2014 |
| Last updated in NPPES | October 13, 2021 |
| Certification date | October 13, 2021 |
| Mailing address | 108 W Market St, Bloomington, IL 61701-3918 |
Other providers in Bloomington
-
Dionne Marie Otto, DOULA, LCCE, CLC
304 Colton Ave, Bloomington, IL 61701-3310 · (309) 706-9881