Individual
JOE BRIAN MIDDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN-FNP
Contact information
Practice address
310 N L ROGERS WELLS BLVD, GLASGOW, KY 42141-1300
(270) 659-5555
(270) 659-5566
Mailing address
1774 SPILLMAN RD, CAVE CITY, KY 42127-9128
(270) 537-5451
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3008673
KY
363LF0000X
Family Nurse Practitioner
Primary
3008673
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000879197
ANTHEM
KY
05
—
7100299500
—
KY
01
—
P01345178
RAILROAD MEDICARE
—
Enumeration date
05/29/2014
Last updated
03/10/2023
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