BRODA L MILLER LPN
NPI 1649043753
Licensed Practical Nurse in Quincy, IL

Active since October 31, 2023
639 YORK ST RM 212, QUINCY, IL 62301(217) 222-6277 Get Directions Write a Review

NPPES record last updated: June 7, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 7, 2024, Oct 31, 2023 (2 updates tracked since 2023).

About Broda L Miller Lpn NPPES

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

BRODA L MILLER LPN (NPI 1649043753) is an individual licensed practical nurse in Quincy, Illinois, licensed in Illinois (043089365) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1649043753
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameBRODA L MILLERCredential: LPN
Location Address639 YORK ST RM 212Quincy, IL 62301-3919
Mailing Address1601 Old South River RdSaint Charles, MO 63303-4120 · (636) 224-1210 · Fax (636) 246-1008
Sole ProprietorNo
Enumeration DateOctober 31, 2023
Last NPPES UpdateJune 7, 20242 updates tracked since enumeration
NPPES CertifiedJune 7, 2024
NPI 1649043753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in IL · 043089365
Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

639 YORK ST RM 212, Quincy, IL 62301

Other Names 1

Former Name (1)Broda L Holloway

Other Providers at the Same Location NPPES 20

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

Counselor (Professional)
639 YORK ST RM 212
QUINCY, IL 62301
Clinic/Center (Mental Health (Including Community Mental Health Center))
639 YORK ST RM 212
QUINCY, IL 62301
Case Management
639 YORK ST RM 212
QUINCY, IL 62301
Licensed Practical Nurse
639 YORK ST RM 212
QUINCY, IL 62301
Counselor (Addiction (Substance Use Disorder))
639 YORK ST RM 212
QUINCY, IL 62301
Counselor (Professional)
639 YORK ST RM 212
QUINCY, IL 62301
Clinic/Center (Community Health)
639 YORK ST RM 212
QUINCY, IL 62301
Licensed Practical Nurse
639 YORK ST RM 212
QUINCY, IL 62301

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 Broda Miller's NPI number?

The NPI number for Broda Miller is 1649043753. It was assigned to this individual provider in the NPPES registry on October 31, 2023. The provider is also known as Broda L Holloway.

Where is Broda Miller located?

Broda Miller practices at 639 York St Rm 212, Quincy, IL 62301. The listed phone number is (217) 222-6277.

What is Broda Miller's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Broda Miller was last updated on June 7, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.