Provider Demographics
NPI:1083736615
Name:NEWMAN, ELIZABETH KATHRYN (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:KATHRYN
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MRS
Other - First Name:ELIZABETH
Other - Middle Name:KATHRYN
Other - Last Name:NEWMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ARNP-C
Mailing Address - Street 1:12424 COUNTY ROAD 49
Mailing Address - Street 2:
Mailing Address - City:LIVE OAK
Mailing Address - State:FL
Mailing Address - Zip Code:32060-7083
Mailing Address - Country:US
Mailing Address - Phone:386-364-8379
Mailing Address - Fax:
Practice Address - Street 1:4551 W US HIGHWAY 90 STE 101
Practice Address - Street 2:
Practice Address - City:LAKE CITY
Practice Address - State:FL
Practice Address - Zip Code:32055-8836
Practice Address - Country:US
Practice Address - Phone:386-319-8178
Practice Address - Fax:386-243-8786
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3090732363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care