Individual
STACEY R MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
4940 HAMRICK RD, CENTRAL POINT, OR 97502-3072
(541) 535-6239
Mailing address
PO BOX 468, SKOWHEGAN, ME 04976-0468
(207) 474-6201
(207) 474-0969
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10000494
OR
363L00000X
Nurse Practitioner
5017403
NC
363LF0000X
Family Nurse Practitioner
2016003734
MO
363LF0000X
Family Nurse Practitioner
CNP221433
ME
Other
Enumeration date
02/26/2016
Last updated
04/30/2026
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