Myranda Whitman
NPI #1841600608 in Bloomington, Illinois
Provider Information
- NPI Number
- 1841600608
- Entity Type
- Individual
- Name
- Myranda Whitman
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- May 2, 2014
- Last Updated
- Oct 13, 2021
Practice Location
- Address
- 108 W MARKET ST
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-3918
- Phone
- (309) 827-5351
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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