Healthcare Provider Details

I. General information

NPI: 1720983059
Provider Name (Legal Business Name): CYNTHIA Y NEWMAN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3945 WASHINGTON BLVD STE 1
OGDEN UT
84403-1988
US

IV. Provider business mailing address

2281 N 2400 W
FARR WEST UT
84404-4689
US

V. Phone/Fax

Practice location:
  • Phone: 801-564-5555
  • Fax:
Mailing address:
  • Phone: 801-564-5555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number64167353102
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: