Middlebrooks, Tieshau

Middlebrooks, Tieshau is an individual health care provider with primary practice located at 1200 S Church St Ste 20 , Mount Laurel NJ 08054-2936. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Middlebrooks, Tieshau can be contacted via phone (609) 937-3491.

Contact Information

Primary practice address
1200 S Church St Ste 20 Mount Laurel NJ 08054-2936
Phone: (609) 937-3491
Fax: (609) 853-0221
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 26NJ0089500 New Jersey

Profile Details

NPI number 1063583375
LBN Legal business name Middlebrooks, Tieshau
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2006
Last updated Jun 7th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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