Healthcare Provider Details

I. General information

NPI: 1699957951
Provider Name (Legal Business Name): SARAH MARIE NEWMAN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/28/2007
Last Update Date: 11/28/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

987740 NEBRASKA MEDICAL CTR
OMAHA NE
68198-7740
US

IV. Provider business mailing address

987740 NEBRASKA MEDICAL CTR
OMAHA NE
68198-7740
US

V. Phone/Fax

Practice location:
  • Phone: 402-559-9815
  • Fax: 402-559-1103
Mailing address:
  • Phone: 402-559-9815
  • Fax: 402-559-1103

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License Number110922
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: