Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LF0000X | Nurse Practitioner - Family Medicine | ARNP 2499192 | FL |
N | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | ARNP 2499192 | FL |
NPI | 1992803092 |
---|---|
Provider Name | Mrs. Barbara Ann Middleton |
First Address | St Petersburg, FL 33707-1019 |
Second Address | St Petersburg, FL 33707-1019 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 08/07/2007 |