Healthcare Provider Details

I. General information

NPI: 1770248791
Provider Name (Legal Business Name): HANNAH NEWBURY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/04/2021
Last Update Date: 11/04/2021
Certification Date: 10/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 TITTERINGTON LANE
EMLENTON PA
16373
US

IV. Provider business mailing address

PO BOX 732
EMLENTON PA
16373-0732
US

V. Phone/Fax

Practice location:
  • Phone: 724-992-3280
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: