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NPI Code Detail

MEDICARE: DESIREE MIDDLETON APRN

MEDICARE: DESIREE MIDDLETON APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner4059251KY

General Provider Information

NPI Number : 1801729843
Entity Type Code : Individual
Provider Name (Legal Business Name) : DESIREE MIDDLETON APRN
Provider Business Mailing Address
First Line : 38 BEECH ST
Second Line :
City : CRAB ORCHARD
State : KY
Zip : 40419-9142
Country : US
Telephone Number : 606-365-1547
Fax Number : 606-365-8380
Provider Business Practice Location Address
First Line : 100 JAY ST
Second Line :
City : STANFORD
State : KY
Zip : 40484-7511
Country : US
Telephone Number : 606-365-1547
Fax Number : 606-365-8380
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2026
Last Update Date : 06/08/2026

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