Provider Demographics
NPI:1710027545
Name:NEWHOUSE, CAROLYN C (FNP)
Entity Type:Individual
Prefix:
First Name:CAROLYN
Middle Name:C
Last Name:NEWHOUSE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 S KINGSTON CT
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-1723
Mailing Address - Country:US
Mailing Address - Phone:303-751-7453
Mailing Address - Fax:
Practice Address - Street 1:6101 S AURORA PKWY
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-5801
Practice Address - Country:US
Practice Address - Phone:303-953-7064
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO179573363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner