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NPI Code Detail

MEDICARE: ANGELA NEWMAN

MEDICARE: ANGELA NEWMAN
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
1363LF0000XFamily Nurse Practitioner4704302079MI

General Provider Information

NPI Number : 1073086989
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA NEWMAN
Provider Business Mailing Address
First Line : 3806 DUKE ST
Second Line :
City : KALAMAZOO
State : MI
Zip : 49008-3110
Country : US
Telephone Number : 574-606-7270
Fax Number :
Provider Business Practice Location Address
First Line : 2900 WATKINS RD
Second Line :
City : BATTLE CREEK
State : MI
Zip : 49015-8604
Country : US
Telephone Number : 269-245-5430
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2019
Last Update Date : 11/27/2023

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Directions to “ ANGELA NEWMAN ” Practice Location

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