Provider Demographics
NPI:1629516810
Name:NEWLANDER, HARRIET
Entity Type:Individual
Prefix:MS
First Name:HARRIET
Middle Name:
Last Name:NEWLANDER
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:HAPPY
Other - Middle Name:
Other - Last Name:NEWLANDER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2204 CAMP GREENE ST
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28208-5044
Mailing Address - Country:US
Mailing Address - Phone:704-277-2594
Mailing Address - Fax:
Practice Address - Street 1:205 PIEDMONT BLVD
Practice Address - Street 2:STE 100
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-1836
Practice Address - Country:US
Practice Address - Phone:803-327-2012
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-07
Last Update Date:2017-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC245181163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse