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1982289765 NPI number — ANGELA MARIE MIDDLETON CNM, IBCLC

NPI Number: 1982289765
Health Care Provider/Practitioner: ANGELA MARIE MIDDLETON CNM, IBCLC

Information about “1982289765” NPI (ANGELA MARIE MIDDLETON CNM, IBCLC) exists in 1982289765 in HTML format HTML  |  1982289765 in plain Text format TXT  |  1982289765 in PDF (Portable Document Format) PDF  |  1982289765 in an XML format XML  formats.

NPI Number : 1982289765 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1982289765",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MIDDLETON",
    "FirstName": "ANGELA",
    "MiddleName": "MARIE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CNM, IBCLC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7681 OLIVERS SHOP RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LA PLATA",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "20646-4149",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "240-925-8120",
    "MailingAddressFaxNumber": "877-552-1637",
    "FirstLinePracticeLocationAddress": "7681 OLIVERS SHOP RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LA PLATA",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "20646-4149",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "240-925-8120",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/13/2021",
    "LastUpdateDate": "03/13/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363LX0001X",
          "TaxonomyName": "Obstetrics & Gynecology Nurse Practitioner",
          "LicenseNumber": "0024188693",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "367A00000X",
          "TaxonomyName": "Advanced Practice Midwife",
          "LicenseNumber": "0024188693",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "367A00000X",
          "TaxonomyName": "Advanced Practice Midwife",
          "LicenseNumber": "R239713",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "163WL0100X",
          "TaxonomyName": "Lactation Consultant (Registered Nurse)",
          "LicenseNumber": "R239713",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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