Healthcare Provider Details

I. General information

NPI: 1982937157
Provider Name (Legal Business Name): KATHRYN ERIN NEWARA CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KATHRYN ERIN OBER

II. Dates (important events)

Enumeration Date: 09/06/2009
Last Update Date: 04/02/2021
Certification Date: 03/30/2021
Deactivation Date: 02/09/2021
Reactivation Date: 03/08/2021

III. Provider practice location address

308 STATE ST
BADEN PA
15005-1904
US

IV. Provider business mailing address

308 STATE ST
BADEN PA
15005
US

V. Phone/Fax

Practice location:
  • Phone: 724-650-3926
  • Fax:
Mailing address:
  • Phone: 724-650-3926
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP023554
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number2020168113
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: