Individual
MRS. AMY SUE MIDDLEBROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BC, CCM
Contact information
Practice address
6720 PARK MILL DR, DUBLIN, OH 43016-7032
(614) 745-7129
(614) 559-9771
Mailing address
6720 PARK MILL DR, DUBLIN, OH 43016-7032
(614) 745-7129
(614) 559-9771
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN - 266658
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00060949
CCM
OH
01
—
RN-266658
RN
OH
Enumeration date
01/14/2013
Last updated
01/14/2013
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