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NPI Code Detail

MEDICARE: DARLENE MCMIDDLETON NP

MEDICARE: DARLENE MCMIDDLETON NP
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
1363LA2100XAcute Care Nurse Practitioner50-03922NC
2390200000XStudent in an Organized Health Care Education/Training Program95003647CA
3390200000XStudent in an Organized Health Care Education/Training Program
4363LP0808XPsychiatric/Mental Health Nurse Practitioner95003647CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
195003647OTHERCAPSYCHIATRIC MENTAL HEALTH NP
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144267642
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARLENE MCMIDDLETON NP
Provider Business Mailing Address
First Line : 1963 4TH AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92101-2394
Country : US
Telephone Number : 619-233-3432
Fax Number : 619-275-5069
Provider Business Practice Location Address
First Line : 1963 4TH AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92101-2394
Country : US
Telephone Number : 619-275-0822
Fax Number : 619-275-5069
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2006
Last Update Date : 04/17/2019

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