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MICKY MILLER
NPI 1437087319
Nurse Practitioner - Family in Peoria, IL

Active since May 12, 2026
1501 W BRADLEY AVE, PEORIA, IL 61625(309) 676-7611 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Micky Miller NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICKY MILLER (NPI 1437087319) is an individual family provider in Peoria, Illinois, licensed in Illinois (209.035387) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1437087319
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMICKY MILLER
Location Address1501 W BRADLEY AVEPeoria, IL 61625-0001
Mailing Address1501 W Bradley AvePeoria, IL 61625-0001
Phone(309) 676-7611
Sole ProprietorNo
Enumeration DateMay 12, 2026
NPPES CertifiedMay 12, 2026
✔ NPI 1437087319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209.035387
1501 W BRADLEY AVE, Peoria, IL 61625
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Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ERIC T REDMAN ATC
Specialist/Technologist (Athletic Trainer)
1501 W BRADLEY AVE
PEORIA, IL 61625
Peoria County (309) 677-2686
MEGAN NIXON
Specialist/Technologist (Athletic Trainer)
1501 W BRADLEY AVE
PEORIA, IL 61625
Peoria County (309) 677-2983
DELANEY BAY TAYLOR
Specialist/Technologist (Athletic Trainer)
1501 W BRADLEY AVE
PEORIA, IL 61625
Peoria County (309) 676-7611
MARCUS OHNEMUS A.T.C.
Specialist/Technologist (Athletic Trainer)
1501 W BRADLEY AVE
PEORIA, IL 61625
Peoria County (309) 677-3072
CHEE VANG
Student in an Organized Health Care Education/Training Program
1501 W BRADLEY AVE
PEORIA, IL 61625
Peoria County (309) 676-7611
MR. MARK JOSEPH COLSTON A.T.C.,
Specialist
1501 W BRADLEY AVE
PEORIA, IL 61625
Peoria County (765) 376-2657
ERIC POLOMIS
Specialist/Technologist (Athletic Trainer)
1501 W BRADLEY AVE
PEORIA, IL 61625
Peoria County (920) 655-2318
DUSTIN HOLLEY MS, ATC
Specialist/Technologist (Athletic Trainer)
1501 W BRADLEY AVE
PEORIA, IL 61625
Peoria County (309) 677-3072

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Micky Miller's NPI number?

The NPI number for Micky Miller is 1437087319. It was assigned to this individual provider in the NPPES registry on May 12, 2026.

Where is Micky Miller located?

Micky Miller practices at 1501 W Bradley Ave, Peoria, IL 61625. The listed phone number is (309) 676-7611.

What is Micky Miller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Micky Miller was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.