Healthcare Provider Details

I. General information

NPI: 1851815203
Provider Name (Legal Business Name): DONNA NEWELL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2017
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 N PINE HILL RD
BIRMINGHAM AL
35217-1215
US

IV. Provider business mailing address

1051 NORMANDALE CIR
BESSEMER AL
35023-4336
US

V. Phone/Fax

Practice location:
  • Phone: 205-849-2352
  • Fax:
Mailing address:
  • Phone: 205-777-8184
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License Number1-031253
License Number StateAL

VIII. Authorized Official

Name: DONNA L NEWELL
Title or Position: OWNER/PROVIDER
Credential: APRN CNS
Phone: 205-777-8184