Provider Demographics
NPI:1548821317
Name:MIDDLETON-HUNTLEY, TERRI ELIZABETH (RN)
Entity type:Individual
Prefix:MS
First Name:TERRI
Middle Name:ELIZABETH
Last Name:MIDDLETON-HUNTLEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 545
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:CO
Mailing Address - Zip Code:81402-0545
Mailing Address - Country:US
Mailing Address - Phone:970-417-3168
Mailing Address - Fax:970-252-3208
Practice Address - Street 1:CENTER FOR MENTAL HEALTH-CRISIS WALK-IN CLINIC
Practice Address - Street 2:300 N. CASCADE
Practice Address - City:MONTROSE
Practice Address - State:CO
Practice Address - Zip Code:81401
Practice Address - Country:US
Practice Address - Phone:970-252-3203
Practice Address - Fax:970-252-3208
Is Sole Proprietor?:No
Enumeration Date:2019-06-24
Last Update Date:2019-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO76374163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NONEOtherNONE