Provider Demographics
NPI:1508644618
Name:NEWLAND, REULA
Entity Type:Individual
Prefix:MR
First Name:REULA
Middle Name:
Last Name:NEWLAND
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6631 WYNDWATCH DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45230-5270
Mailing Address - Country:US
Mailing Address - Phone:513-673-7818
Mailing Address - Fax:
Practice Address - Street 1:6631 WYNDWATCH DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45230-5270
Practice Address - Country:US
Practice Address - Phone:513-673-7818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-19
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care