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NPI Code Detail

MEDICARE: DEBRA DARLENE NEWTON LPN

MEDICARE:   DEBRA DARLENE NEWTON  LPN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical Nurse246618-01NY

General Provider Information

NPI Number : 1063134104
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRA DARLENE NEWTON LPN
Provider Business Mailing Address
First Line : 353 SLY POND RD
Second Line :
City : FORT ANN
State : NY
Zip : 12827-3307
Country : US
Telephone Number : 518-744-4882
Fax Number :
Provider Business Practice Location Address
First Line : 353 SLY POND RD
Second Line :
City : FORT ANN
State : NY
Zip : 12827-3307
Country : US
Telephone Number : 518-744-4882
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2022
Last Update Date : 09/15/2022

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Directions to “ DEBRA DARLENE NEWTON LPN” Practice Location

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