# MEGHAN SULLIVAN MIDDLETON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1265414916
- **Gender:** F
- **Credential:** PNP, CNS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080P0203X | Pediatric Critical Care Medicine Physician | 240376 | MA | — |
| 363LP0200X | Pediatric Nurse Practitioner | 240376 | MA | Yes |
| 363LP0222X | Critical Care Pediatric Nurse Practitioner | APRN01412 | RI | — |

## Other

- **Enumeration date:** 11/17/2005
- **Last updated:** 04/07/2023