Individual
MRS. TIESHAU MIDDLEBROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1200 S CHURCH ST STE 20, MOUNT LAUREL, NJ 08054-2936
(609) 937-3491
(609) 853-0221
Mailing address
1200 S CHURCH ST STE 20, MOUNT LAUREL, NJ 08054-2936
(609) 239-1371
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ0089500
NJ
Other
Enumeration date
11/10/2006
Last updated
06/07/2022
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