Provider Demographics
NPI:1184816464
Name:NEWBANKS, KARLA JANE (STNA)
Entity Type:Individual
Prefix:
First Name:KARLA
Middle Name:JANE
Last Name:NEWBANKS
Suffix:
Gender:F
Credentials:STNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:223 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:BELPRE
Mailing Address - State:OH
Mailing Address - Zip Code:45714-2448
Mailing Address - Country:US
Mailing Address - Phone:740-423-4447
Mailing Address - Fax:
Practice Address - Street 1:223 MAPLE ST
Practice Address - Street 2:
Practice Address - City:BELPRE
Practice Address - State:OH
Practice Address - Zip Code:45714-2448
Practice Address - Country:US
Practice Address - Phone:740-423-4447
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-10
Last Update Date:2007-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH400554801106374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide