Desiree Carolina Middlebrook
Student in an Organized Health Care Education/Training Program in Fayetteville, AR. Individual provider (NPI-1).
NPI number1104736313
StatusActive
Last updated in NPPESSep 9, 2026
Details
- NPI
- 1104736313
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Desiree Carolina Middlebrook
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 9, 2026
- Certification date
- Sep 9, 2026
- Last updated
- Sep 9, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | CT | Yes |
Practice location
650 Sonoma CirFayetteville, AR 72703-9770
Phone 757-289-2587
Mailing address
650 Sonoma CirFayetteville, AR 72703-9770
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All 189 Student in an Organized Health Care Education/Training Program providers in Fayetteville · All 4,767 providers in Fayetteville
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