MEDICARE: RITA NEWBERG CNP

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
1	282NC2000X	Children's Hospital	COA16365NP	OH

General Provider Information

NPI Number	:	1194114405
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RITA NEWBERG CNP

Provider Business Mailing Address
First Line	:	9500 EUCLID AVE # DESKM41
Second Line	:	CLEVELAND CLINIC FOUNDATION
City	:	CLEVELAND
State	:	OH
Zip	:	44195-0001
Country	:	US
Telephone Number	:	216-444-9394
Fax Number	:

Provider Business Practice Location Address
First Line	:	9500 EUCLID AVE # DESKM41
Second Line	:	CLEVELAND CLINIC FOUNDATION
City	:	CLEVELAND
State	:	OH
Zip	:	44195-0001
Country	:	US
Telephone Number	:	216-444-9394
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2015
Last Update Date	:	01/10/2015

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