Provider Demographics
NPI:1033853932
Name:NEWTON-WEBER, VASHARA
Entity Type:Individual
Prefix:
First Name:VASHARA
Middle Name:
Last Name:NEWTON-WEBER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:732 18TH ST APT 107
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50314-1025
Mailing Address - Country:US
Mailing Address - Phone:515-718-4217
Mailing Address - Fax:
Practice Address - Street 1:732 18TH ST APT 107
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50314-1025
Practice Address - Country:US
Practice Address - Phone:515-718-4217
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-26
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician