Individual
DEBRA L. MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1200 ROBERTS AVE NE, COOPERSTOWN, ND 58425-7101
(701) 797-2221
(701) 797-2457
Mailing address
1200 ROBERTS AVE NE, COOPERSTOWN, ND 58425-7101
(701) 797-2221
(701) 797-2457
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R175779-2
MN
363LF0000X
Family Nurse Practitioner
Primary
R23285
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19536
—
ND
05
—
856400000
—
MN
Enumeration date
07/13/2006
Last updated
03/07/2023
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