| Doctor Name: | ANGELA CHRISTINE MIDDLETON |
| NPI Number: | 1124382593 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-BC, CEN |
| License Number: | 0024169754 |
| Business Practice Address: | 1000 W 10th St Rolla, MO - 654012905 |
| Business Phone Number: | 5734588899 |
| Business Fax Number: | |
| Mailing Address: | 1000 W 10th St, ROLLA |
| State: | MO |
| Postal Code: | 654012905 |
| Phone Number: | 5734588899 |
| Fax Number: | |
| NPI Enumeration Date: | 06/29/2012 |
| NPI Last Update Date: | 06/29/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 0024169754 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |