Provider Demographics
NPI:1598347262
Name:NEWTON, TRAMICA SHANTRELL (FNP-BC)
Entity Type:Individual
Prefix:
First Name:TRAMICA
Middle Name:SHANTRELL
Last Name:NEWTON
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1514 JEFFERSON HWY
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70121-2429
Mailing Address - Country:US
Mailing Address - Phone:504-842-4000
Mailing Address - Fax:
Practice Address - Street 1:2735 HIGHWAY 190 STE D
Practice Address - Street 2:
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70471-3433
Practice Address - Country:US
Practice Address - Phone:985-778-2510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-22
Last Update Date:2023-08-18
Deactivation Date:2021-04-26
Deactivation Code:
Reactivation Date:2021-05-20
Provider Licenses
StateLicense IDTaxonomies
LAAP218933363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily