MEDICARE: KATHERINE NEWTON

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1518586882
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE NEWTON

Provider Business Mailing Address
First Line	:	603 HILLMEADE DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37221-5202
Country	:	US
Telephone Number	:	520-878-8135
Fax Number	:

Provider Business Practice Location Address
First Line	:	4524 HARDING PIKE
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37205-2102
Country	:	US
Telephone Number	:	615-292-0601
Fax Number	:

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

Provider Enumeration Date	:	04/15/2020
Last Update Date	:	04/15/2020

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Directions to “ KATHERINE NEWTON ” Practice Location

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