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NPI Code Detail

MEDICARE: LAUNIECE D NEWTON AGPCNP-C, PMHNP-BC

MEDICARE: LAUNIECE D NEWTON AGPCNP-C, PMHNP-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
1363LP2300XPrimary Care Nurse Practitioner5010293NC
2363LP0808XPsychiatric/Mental Health Nurse Practitioner5010293NC

General Provider Information

NPI Number : 1750881983
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUNIECE D NEWTON AGPCNP-C, PMHNP-BC
Provider Business Mailing Address
First Line : 3065 THURMAN DAIRY LOOP
Second Line :
City : WAKE FOREST
State : NC
Zip : 27587-5621
Country : US
Telephone Number : 516-633-8421
Fax Number :
Provider Business Practice Location Address
First Line : 1748 HERITAGE CENTER DR STE 101
Second Line :
City : WAKE FOREST
State : NC
Zip : 27587-9855
Country : US
Telephone Number : 919-529-5920
Fax Number : 919-529-5933
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2018
Last Update Date : 02/01/2022

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