Provider Demographics
NPI:1417208190
Name:NEWHOUSE, LINDA M (RN, MSN, WHNP)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:M
Last Name:NEWHOUSE
Suffix:
Gender:F
Credentials:RN, MSN, WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:726 CHELSEA AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43209-2508
Mailing Address - Country:US
Mailing Address - Phone:614-566-5393
Mailing Address - Fax:614-566-6702
Practice Address - Street 1:726 CHELSEA AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43209-2508
Practice Address - Country:US
Practice Address - Phone:614-566-5393
Practice Address - Fax:614-566-6702
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-21
Last Update Date:2012-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA08951363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health