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NPI Code Detail

MEDICARE: MRS. DONNA LEE NEWELL PMHCNS-BC

MEDICARE: MRS. DONNA LEE NEWELL PMHCNS-BC
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
1364SP0809XAdult Psychiatric/Mental Health Clinical Nurse Specialist1-031253AL

General Provider Information

NPI Number : 1295133031
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DONNA LEE NEWELL PMHCNS-BC
Provider Business Mailing Address
First Line : 110 SOUTHLAKE LN
Second Line :
City : HOOVER
State : AL
Zip : 35244-3329
Country : US
Telephone Number : 205-777-8184
Fax Number : 205-978-7802
Provider Business Practice Location Address
First Line : 100 CENTURY PARK S
Second Line : SUITE 206
City : BIRMINGHAM
State : AL
Zip : 35226-3949
Country : US
Telephone Number : 205-978-7800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2014
Last Update Date : 12/10/2014

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