Healthcare Provider Details

I. General information

NPI: 1316936057
Provider Name (Legal Business Name): LYNDA N. NEWMAN MSN, NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/15/2005
Last Update Date: 07/06/2025
Certification Date: 07/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24865 EMERY RD STE A
CLEVELAND OH
44128-5636
US

IV. Provider business mailing address

3525 KERSDALE RD
CLEVELAND OH
44124-5608
US

V. Phone/Fax

Practice location:
  • Phone: 216-755-5380
  • Fax: 162-016-1962
Mailing address:
  • Phone: 216-978-1531
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN.CNP.15720
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: