Provider Demographics
NPI:1508121997
Name:MIDDLETON, BRITTANY ANNE (LPN)
Entity Type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:ANNE
Last Name:MIDDLETON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MRS
Other - First Name:BRITTANY
Other - Middle Name:ANNE
Other - Last Name:SIDONIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPN
Mailing Address - Street 1:6000 MEADOWSLGEN DR
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017
Mailing Address - Country:US
Mailing Address - Phone:614-702-0262
Mailing Address - Fax:
Practice Address - Street 1:6000 MEADOWSLGEN DR
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017
Practice Address - Country:US
Practice Address - Phone:614-702-0262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH148101164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse