Provider Demographics
NPI:1518969476
Name:NEWMAN, JANET KATHRYN (CRNA)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:KATHRYN
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13845 HALYARD DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78418-6920
Mailing Address - Country:US
Mailing Address - Phone:512-799-6433
Mailing Address - Fax:361-949-3292
Practice Address - Street 1:13845 HALYARD DR
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78418-6920
Practice Address - Country:US
Practice Address - Phone:512-799-6433
Practice Address - Fax:361-949-3292
Is Sole Proprietor?:No
Enumeration Date:2005-08-11
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX443890367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEDICARE ID # 8A6763Medicare PIN