Individual provider · Type 1 NPI

Desiree Carolina Middlebrook

Student in an Organized Health Care Education/Training Program · Fayetteville, AR

NPI number 1104736313 Active

Practice location

650 Sonoma Cir
Fayetteville, AR 72703-9770

Call (757) 289-2587 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104736313

Desiree Carolina Middlebrook's National Provider Identifier is 1104736313, issued on Sep 9, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fayetteville, AR. The record was last updated on Sep 9, 2026.