Provider Demographics
NPI:1942042155
Name:MIDDLEBROOK, KAREN A
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:A
Last Name:MIDDLEBROOK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6393 CHESTNUT HILL RD
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464-4453
Mailing Address - Country:US
Mailing Address - Phone:757-646-9950
Mailing Address - Fax:
Practice Address - Street 1:6393 CHESTNUT HILL RD
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23464-4453
Practice Address - Country:US
Practice Address - Phone:757-646-9950
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-10
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider