MEDICARE: ERICA ALEXIS 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	376K00000X	Nurse's Aide	401527780513	OH

General Provider Information

NPI Number	:	1578025755
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICA ALEXIS NEWTON

Provider Business Mailing Address
First Line	:	2591 VANDERHOOF RD
Second Line	:
City	:	NEW FRANKLIN
State	:	OH
Zip	:	44203-4664
Country	:	US
Telephone Number	:	330-803-3497
Fax Number	:

Provider Business Practice Location Address
First Line	:	2591 VANDERHOOF RD
Second Line	:
City	:	NEW FRANKLIN
State	:	OH
Zip	:	44203-4664
Country	:	US
Telephone Number	:	330-803-3497
Fax Number	:

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

Provider Enumeration Date	:	04/04/2019
Last Update Date	:	04/04/2019

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Directions to “ ERICA ALEXIS NEWTON ” Practice Location

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