Provider Demographics
NPI:1346872173
Name:NEWELL, ANA M (BSN, RN)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:M
Last Name:NEWELL
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6420 N PROSPECT AVE
Mailing Address - Street 2:
Mailing Address - City:GLADSTONE
Mailing Address - State:MO
Mailing Address - Zip Code:64119-1530
Mailing Address - Country:US
Mailing Address - Phone:913-945-9726
Mailing Address - Fax:913-945-9707
Practice Address - Street 1:6420 N PROSPECT AVE
Practice Address - Street 2:
Practice Address - City:GLADSTONE
Practice Address - State:MO
Practice Address - Zip Code:64119-1530
Practice Address - Country:US
Practice Address - Phone:913-945-9726
Practice Address - Fax:913-945-9707
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-10
Last Update Date:2020-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2009017391163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management