Doctor Name: | MRS. ELIZABETH KATHRYN NEWMAN |
NPI Number: | 1083736615 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | ARNP3090732 |
Business Practice Address: | 1437 Ohio Ave N Live Oak, FL - 320644817 |
Business Phone Number: | 3863625840 |
Business Fax Number: | |
Mailing Address: | 12424 County Road 49, LIVE OAK |
State: | FL |
Postal Code: | 320607083 |
Phone Number: | 3863648379 |
Fax Number: | |
NPI Enumeration Date: | 04/04/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP2300X |
License Number: | ARNP3090732 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |