Doctor Name: | MARK NEWLAND |
NPI Number: | 1104943760 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RN |
License Number: | RN. 291447 |
Business Practice Address: | 11835 Refugee Rd Sw Pataskala, OH - 430628310 |
Business Phone Number: | 7409277300 |
Business Fax Number: | |
Mailing Address: | 11835 Refugee Rd Sw, PATASKALA |
State: | OH |
Postal Code: | 430628310 |
Phone Number: | 7409277300 |
Fax Number: | |
NPI Enumeration Date: | 03/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | RN. 291447 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |