Individual
DARLENE MCMIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1963 4TH AVE, SAN DIEGO, CA 92101-2394
(619) 275-0822
(619) 275-5069
Mailing address
1963 4TH AVE, SAN DIEGO, CA 92101-2394
(619) 233-3432
(619) 275-5069
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
50-03922
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95003647
CA
390200000X
Student in an Organized Health Care Education/Training Program
95003647
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95003647
PSYCHIATRIC MENTAL HEALTH NP
CA
05
—
95003647
—
CA
Enumeration date
06/01/2006
Last updated
04/17/2019
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