Provider Demographics
NPI:1417285206
Name:NEWTON, EDWARD (APNP)
Entity Type:Individual
Prefix:
First Name:EDWARD
Middle Name:
Last Name:NEWTON
Suffix:
Gender:M
Credentials:APNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:701 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55415-1623
Mailing Address - Country:US
Mailing Address - Phone:612-873-2720
Mailing Address - Fax:612-904-4243
Practice Address - Street 1:3120 SCHNEIDER AVE SE
Practice Address - Street 2:SUITE 3
Practice Address - City:MENOMONIE
Practice Address - State:WI
Practice Address - Zip Code:54751-2591
Practice Address - Country:US
Practice Address - Phone:715-233-3890
Practice Address - Fax:715-838-2910
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-07
Last Update Date:2015-04-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI169202363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology