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Individual

ANGELA CHRISTINE MIDDLETON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC, CEN

Contact information

Practice address
1000 W 10TH ST, ROLLA, MO 65401-2905
(573) 458-8899
Mailing address
1050 W 10TH ST, ATTN: EXECUTIVE DIRECTOR OF PHYSICIAN CLINCS, ROLLA, MO 65401-2905
(573) 364-9000
(573) 426-2108

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024169754
VA
363LF0000X
Family Nurse Practitioner
Primary
2012007171
MO

Other

Enumeration date
06/29/2012
Last updated
08/22/2019
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