Deedee Middleton, LVN

Individual provider Active NPI Licensed Vocational Nurse · Nocona, TX

NPI 1306960141 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1306960141
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Vocational Nurse 164X00000X
License
163982 (TX)
Practice address
303 11TH St
Nocona, TX 76255-3004
Phone
(940) 825-3462
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
163982TXMDLicensed Vocational Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 163982 TX Yes

Addresses

Primary practice location

303 11TH St
Nocona, TX 76255-3004

Mailing address

303 11TH St
Nocona, TX 76255-3004
Phone (940) 825-3462

Other providers in Nocona, TX

All providers in Nocona, TX · Licensed Vocational Nurse in Texas

Sources for this page

Verify at the official NPI Registry.