Individual provider · Type 1 NPI

Chryste Lashon Middleton, RN, CCM

Case Management Registered Nurse · Irmo, SC

NPI number 1750979969 Active

Practice location

312 Glen Arbor Loop
Irmo, SC 29063-8881

Fax (855) 222-0084

Specialties and licenses

TaxonomyCodeLicense
General Practice Registered Nurse 163WG0000X223162 (SC)
Case Management Registered Nurse Primary 163WC0400X223162 (SC)

Case Management Registered Nurse: Definition to come...

Another provider at this address

About NPI 1750979969

Chryste Lashon Middleton, RN, CCM's National Provider Identifier is 1750979969, issued on Jan 4, 2021. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Irmo, SC. The record was last updated on Jan 4, 2021.