Provider Demographics
NPI:1093141129
Name:NEWMAN, LARRY MARTIN (ARNP, DNP)
Entity Type:Individual
Prefix:
First Name:LARRY
Middle Name:MARTIN
Last Name:NEWMAN
Suffix:
Gender:M
Credentials:ARNP, DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 NEWTON DR
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242
Mailing Address - Country:US
Mailing Address - Phone:319-335-7119
Mailing Address - Fax:
Practice Address - Street 1:101 COLLEGE OF NURSING BLDG
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1117
Practice Address - Country:US
Practice Address - Phone:319-335-7119
Practice Address - Fax:319-384-0080
Is Sole Proprietor?:No
Enumeration Date:2013-09-20
Last Update Date:2018-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAH116388363LA2200X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA2405651Medicaid
IA4814801OtherAETNA