Individual
ELLEN JUNE MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2210 E ILLINOIS AVE STE 408, FRESNO, CA 93701-2184
(559) 443-2694
(559) 443-2696
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 443-2682
(559) 443-2681
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
333601
CA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
7968
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN333601
—
CA
Enumeration date
11/11/2006
Last updated
12/23/2024
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