Provider Demographics
NPI:1083710685
Name:NEWTON, MICHELLE ANN (RN, APRN-BC)
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:ANN
Last Name:NEWTON
Suffix:
Gender:F
Credentials:RN, APRN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:412 E TRIPP RD
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:TX
Mailing Address - Zip Code:75182-9545
Mailing Address - Country:US
Mailing Address - Phone:214-803-0768
Mailing Address - Fax:
Practice Address - Street 1:412 E TRIPP RD # 250
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:TX
Practice Address - Zip Code:75182-9545
Practice Address - Country:US
Practice Address - Phone:214-699-1647
Practice Address - Fax:214-387-1232
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2022-10-17
Deactivation Date:2020-11-14
Deactivation Code:
Reactivation Date:2021-02-11
Provider Licenses
StateLicense IDTaxonomies
TX679483363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily