Provider Demographics
NPI:1083830665
Name:NEWMAN, PAULA A (LPN)
Entity Type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:A
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9036 SALEM RD
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:OH
Mailing Address - Zip Code:45701-8923
Mailing Address - Country:US
Mailing Address - Phone:740-592-2456
Mailing Address - Fax:
Practice Address - Street 1:9036 SALEM RD
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:OH
Practice Address - Zip Code:45701-8923
Practice Address - Country:US
Practice Address - Phone:740-592-2456
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN071241164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse