Individual
JOANNE P MIDDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM, NP
Contact information
Practice address
119 BEACH 129 ST, ROCKAWAY PARK, NY 11694
(718) 486-7374
(718) 486-6927
Mailing address
119 BEACH 129 ST, ROCKAWAY PARK, NY 11694
(718) 486-7374
(718) 486-6927
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
F000385
NY
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
F360200-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00810980
—
NY
Enumeration date
08/15/2005
Last updated
11/04/2014
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