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NPI Code Detail

MEDICARE: MRS. PATRICIA ANN NEWELL ARNP

MEDICARE: MRS. PATRICIA ANN NEWELL ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner496002FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00695235OTHERFLRRB PTAN
2Y7529OTHERFLBCBS FL
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013914266
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PATRICIA ANN NEWELL ARNP
Provider Business Mailing Address
First Line : 504 N MACARTHUR AVE
Second Line : NEPHROLOGY ASSOCIATES
City : PANAMA CITY
State : FL
Zip : 32401-3636
Country : US
Telephone Number : 850-769-2158
Fax Number : 850-785-9220
Provider Business Practice Location Address
First Line : 504 N MACARTHUR AVE
Second Line : NEPHROLOGY ASSOCIATES
City : PANAMA CITY
State : FL
Zip : 32401-3636
Country : US
Telephone Number : 850-769-2158
Fax Number : 850-785-9220
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2005
Last Update Date : 03/17/2014

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