National Provider Identifier

Colleen Ann Middlebrook, LPN

Colleen Ann Middlebrook, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Geneva, NY and a listed phone number of (315) 521-1253.

NPI 1801472089Geneva, NYLicensed Practical Nurse

Profile Overview

NPI
1801472089
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
March 19, 2021
Last Updated
March 19, 2021

Practice Location

  • 159 State Route 96
  • Geneva, NY 14456-9559

Phone: (315) 521-1253

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1801472089
Entity Type
Individual
Last Name
Middlebrook
First Name
Colleen
Middle Name
Ann
Credential
LPN
Mailing Street Address
159 State Route 96
Mailing City
Geneva
Mailing State
NY
Mailing ZIP Code
14456-9559
Mailing Country
US
Mailing Phone
(315) 521-1253
Practice Street Address
159 State Route 96
Practice City
Geneva
Practice State
NY
Practice ZIP Code
14456-9559
Practice Country
US
Practice Phone
(315) 521-1253
Enumeration Date
March 19, 2021
Last Updated
March 19, 2021
Sex
Female
Sole Proprietor
Yes
Certification Date
March 19, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)