Provider Demographics
NPI:1124583331
Name:MIDDLETON, BARBARA KAYE (APRN, FNP)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:KAYE
Last Name:MIDDLETON
Suffix:
Gender:F
Credentials:APRN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 307
Mailing Address - Street 2:
Mailing Address - City:EVARTS
Mailing Address - State:KY
Mailing Address - Zip Code:40828-0307
Mailing Address - Country:US
Mailing Address - Phone:606-909-0444
Mailing Address - Fax:
Practice Address - Street 1:118 HOWARD ST
Practice Address - Street 2:
Practice Address - City:EVARTS
Practice Address - State:KY
Practice Address - Zip Code:40828-5936
Practice Address - Country:US
Practice Address - Phone:606-909-0444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-01
Last Update Date:2019-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3013119363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY3013119OtherAPRN LICENSE NUMBER