Individual
MEGHAN SULLIVAN MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP, CNS
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
240376
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
240376
MA
363LP0222X
Critical Care Pediatric Nurse Practitioner
APRN01412
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN01412
LICENSE
RI
Enumeration date
11/17/2005
Last updated
04/07/2023
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