Provider Demographics
NPI:1700844149
Name:NEWMAN, CAROL ANN (PNP)
Entity Type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:ANN
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SHAPE HCF, UNIT 21414
Mailing Address - Street 2:BOX 215
Mailing Address - City:APO
Mailing Address - State:EUROPE
Mailing Address - Zip Code:AE
Mailing Address - Country:BE
Mailing Address - Phone:423
Mailing Address - Fax:423-5918
Practice Address - Street 1:SHAPE HCF, UNIT 21414
Practice Address - Street 2:BOX 215
Practice Address - City:APO
Practice Address - State:EUROPE
Practice Address - Zip Code:AE
Practice Address - Country:BE
Practice Address - Phone:423
Practice Address - Fax:423-5918
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN113884363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics