Provider Demographics
NPI:1346753381
Name:NEWTON, DALIER AYE (RN)
Entity Type:Individual
Prefix:MS
First Name:DALIER
Middle Name:AYE
Last Name:NEWTON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11323 74TH ST NE
Mailing Address - Street 2:
Mailing Address - City:OTSEGO
Mailing Address - State:MN
Mailing Address - Zip Code:55301-4520
Mailing Address - Country:US
Mailing Address - Phone:763-245-3103
Mailing Address - Fax:
Practice Address - Street 1:11323 74TH ST NE
Practice Address - Street 2:
Practice Address - City:OTSEGO
Practice Address - State:MN
Practice Address - Zip Code:55301-4520
Practice Address - Country:US
Practice Address - Phone:763-245-3103
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-13
Last Update Date:2017-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1925320163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health