Individual
ALICIA MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
12 RIVERWATCH LN, INDIAN HEAD, MD 20640-1560
(540) 556-3693
Mailing address
12 RIVERWATCH LN, INDIAN HEAD, MD 20640-1560
(540) 556-3693
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A00129004
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A00129004
MD BOARD OF NURSING
MD
Enumeration date
03/29/2021
Last updated
03/29/2021
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