Individual
MR. MONTE RONALD MIDDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN-NP
Contact information
Practice address
3020 18TH ST, COLUMBUS, NE 68601-4254
(402) 562-8714
Mailing address
3020 18TH ST, COLUMBUS, NE 68601-4254
(402) 562-8714
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
111116
NE
Other
Enumeration date
03/17/2010
Last updated
03/17/2010
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