Middlebrook, Gina R

Middlebrook, Gina R is an individual health care provider with primary practice located at 4075 Copper Ridge Dr , Traverse City MI 49684-7059. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Middlebrook, Gina R can be contacted via phone (804) 289-4605.

Contact Information

Primary practice address
4075 Copper Ridge Dr Traverse City MI 49684-7059
Phone: (804) 289-4605
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0024167368 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0024167368 Virginia

Profile Details

NPI number 1699965863
LBN Legal business name Middlebrook, Gina R
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2007
Last updated Jan 8th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699965863 NPPES
Virginia MEDICAID 1699965863

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