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General NPI Number Information
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NPI Number | 1669916201
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Entity Type | Individual
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Provider Name | STELA MIDDLETON CNP
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Gender | Female
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Dates
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Enumeration Date | 12/16/2016
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Last Update Date | 10/10/2023
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Provider Practice Location Address
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Address Line | 4001 JUAN TABO BLVD NE STE D
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City | ALBUQUERQUE
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State | NM
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Zip | 87111-3979
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Country | US
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Telephone | 505-633-7898
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Fax | 505-355-1394
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Provider Business Mailing Address
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Address Line | 4001 JUAN TABO BLVD NE STE D
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City | ALBUQUERQUE
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State | NM
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Zip | 87111-3979
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Country | US
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Telephone | 505-663-6242
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 66287
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 66287
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License Number State | NM
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