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NPI Code Detail

MEDICARE: STEPHANIE NICHELLE NEWTON DNP

MEDICARE: STEPHANIE NICHELLE NEWTON DNP
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
1363LW0102XWomen's Health Nurse Practitioner630570TX

General Provider Information

NPI Number : 1750573143
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE NICHELLE NEWTON DNP
Provider Business Mailing Address
First Line : 549 BUSH AVE
Second Line :
City : WAXAHACHIE
State : TX
Zip : 75165-1286
Country : US
Telephone Number : 214-868-4658
Fax Number :
Provider Business Practice Location Address
First Line : 4500 S LANCASTER RD
Second Line :
City : DALLAS
State : TX
Zip : 75216-7167
Country : US
Telephone Number : 214-857-1615
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2007
Last Update Date : 06/22/2026

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