Doctor Name: | HASTINA NEWBURY |
NPI Number: | 1053670539 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 7506 Georgia Ave Nw Washington, DC - 200121608 |
Business Phone Number: | 2022916973 |
Business Fax Number: | |
Mailing Address: | 8502 16th St Apt G18, SILVER SPRING |
State: | MD |
Postal Code: | 209105903 |
Phone Number: | 2404418281 |
Fax Number: | |
NPI Enumeration Date: | 05/03/2012 |
NPI Last Update Date: | 05/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |