Healthcare Provider Details

I. General information

NPI: 1952981987
Provider Name (Legal Business Name): DONNA RUSH-NEWMAN P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2021
Last Update Date: 04/13/2021
Certification Date: 04/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3700 WASHINGTON ST STE 304
HOLLYWOOD FL
33021-8258
US

IV. Provider business mailing address

3700 WASHINGTON ST STE 304
HOLLYWOOD FL
33021-8258
US

V. Phone/Fax

Practice location:
  • Phone: 954-961-1500
  • Fax: 954-961-7942
Mailing address:
  • Phone: 954-961-1500
  • Fax: 954-961-7942

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DONNA RUSH-NEWMAN
Title or Position: PRESIDENT
Credential: A.R.N.P.,C.S.
Phone: 954-961-1500