Provider Demographics
NPI:1780848010
Name:NEWMAN, ELLEN B (RN MSN WHNP)
Entity Type:Individual
Prefix:
First Name:ELLEN
Middle Name:B
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:RN MSN WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 20TH AVE N STE 403
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-5180
Mailing Address - Country:US
Mailing Address - Phone:615-284-3060
Mailing Address - Fax:615-284-3065
Practice Address - Street 1:2011 MURPHY AVE STE 601
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2220
Practice Address - Country:US
Practice Address - Phone:615-284-2988
Practice Address - Fax:615-284-2995
Is Sole Proprietor?:No
Enumeration Date:2008-07-16
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000012869363LX0001X
TN12869363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1521266Medicaid