Provider Demographics
NPI:1851382824
Name:NEWMANN, ROSS EDWARD (MS, RN, FNP-C,)
Entity Type:Individual
Prefix:MR
First Name:ROSS
Middle Name:EDWARD
Last Name:NEWMANN
Suffix:
Gender:M
Credentials:MS, RN, FNP-C,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5863 SW 189TH PL
Mailing Address - Street 2:
Mailing Address - City:ALOHA
Mailing Address - State:OR
Mailing Address - Zip Code:97078-4578
Mailing Address - Country:US
Mailing Address - Phone:808-780-1838
Mailing Address - Fax:
Practice Address - Street 1:5863 SW 189TH PL
Practice Address - Street 2:
Practice Address - City:ALOHA
Practice Address - State:OR
Practice Address - Zip Code:97078-4578
Practice Address - Country:US
Practice Address - Phone:808-780-1838
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60425455363LF0000X
OR201392935NP363LF0000X
HIAPRN - 487363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily