Provider Demographics
NPI:1013914266
Name:NEWELL, PATRICIA ANN (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:ANN
Last Name:NEWELL
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:504 N MACARTHUR AVE
Mailing Address - Street 2:NEPHROLOGY ASSOCIATES
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32401-3636
Mailing Address - Country:US
Mailing Address - Phone:850-769-2158
Mailing Address - Fax:850-785-9220
Practice Address - Street 1:504 N MACARTHUR AVE
Practice Address - Street 2:NEPHROLOGY ASSOCIATES
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32401-3636
Practice Address - Country:US
Practice Address - Phone:850-769-2158
Practice Address - Fax:850-785-9220
Is Sole Proprietor?:No
Enumeration Date:2005-07-01
Last Update Date:2014-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL496002363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP00695235OtherRRB PTAN
FLY7529OtherBCBS FL
FL003023200Medicaid
Y7529AMedicare PIN
FLY7529XMedicare PIN
FL003023200Medicaid