Provider Demographics
NPI:1851815203
Name:DONNA NEWELL LLC
Entity Type:Organization
Organization Name:DONNA NEWELL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:L
Authorized Official - Last Name:NEWELL
Authorized Official - Suffix:
Authorized Official - Credentials:APRN CNS
Authorized Official - Phone:205-777-8184
Mailing Address - Street 1:1051 NORMANDALE CIR
Mailing Address - Street 2:
Mailing Address - City:BESSEMER
Mailing Address - State:AL
Mailing Address - Zip Code:35023-4336
Mailing Address - Country:US
Mailing Address - Phone:205-777-8184
Mailing Address - Fax:
Practice Address - Street 1:200 N PINE HILL RD
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35217-1215
Practice Address - Country:US
Practice Address - Phone:205-849-2352
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-27
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-031253364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental HealthGroup - Single Specialty