Individual provider · Type 1 NPI
Shanan Middleton, CNP
Pediatric Nurse Practitioner · Toledo, OH
NPI number
1306585575
Active
Practice location
2142 N Cove Blvd
Toledo, OH 43606-3895
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | APRN.CNP.0031435 (OH) |
| Registered Nurse | 163W00000X | RN.371037 (OH) |
| Pediatric Nurse Practitioner | 363LP0200X | LE-00041660 (OH) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1306585575
Shanan Middleton, CNP's National Provider Identifier is 1306585575, issued on Jun 3, 2022. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Toledo, OH. The record was last updated on Feb 12, 2026.