Middleton, Shawna Renee

Middleton, Shawna Renee is an individual health care provider with primary practice located at 3000 Independence Sq , West Plains MO 65775-4239. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Middleton, Shawna Renee can be contacted via phone (471) 256-1761.

Contact Information

Primary practice address
3000 Independence Sq West Plains MO 65775-4239
Phone: (471) 256-1761
Fax: (417) 256-1763
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2014001226 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A03569 Arkansas

Profile Details

NPI number 1104104090
LBN Legal business name Middleton, Shawna Renee
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2011
Last updated Jan 3rd, 2017 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104104090 NPPES
Missouri MEDICAID 1104104090
Missouri MEDICAID 189363758

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