Provider Demographics
NPI:1275651424
Name:NEWBY, AMY J (FNP, MSN)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:J
Last Name:NEWBY
Suffix:
Gender:F
Credentials:FNP, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7050 BAKU PL
Mailing Address - Street 2:
Mailing Address - City:DULLES
Mailing Address - State:VA
Mailing Address - Zip Code:20189-7050
Mailing Address - Country:US
Mailing Address - Phone:202-663-1869
Mailing Address - Fax:
Practice Address - Street 1:83 AZADLIG PROSPECT
Practice Address - Street 2:
Practice Address - City:BAKU
Practice Address - State:BAKU
Practice Address - Zip Code:AZ1007
Practice Address - Country:AZ
Practice Address - Phone:99412-498-0335
Practice Address - Fax:99412-465-6671
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP7885363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily