Provider Demographics
NPI:1114526084
Name:NEWMAN, CHRISTINA THERESA (AGPCNP - BC)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:THERESA
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:AGPCNP - BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4055 VALLEY VIEW LN, DALLAS, TX 75244
Mailing Address - Street 2:SUITE 700
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75244
Mailing Address - Country:US
Mailing Address - Phone:919-757-9194
Mailing Address - Fax:
Practice Address - Street 1:3605 TACKWOOD CT
Practice Address - Street 2:
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-5675
Practice Address - Country:US
Practice Address - Phone:919-757-9194
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-22
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1114526084363L00000X, 208D00000X
NC186300163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice