Provider Demographics
NPI:1023787835
Name:NEWTON, LORETTA (RN BSN)
Entity type:Individual
Prefix:
First Name:LORETTA
Middle Name:
Last Name:NEWTON
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 308
Mailing Address - Street 2:
Mailing Address - City:CORFU
Mailing Address - State:NY
Mailing Address - Zip Code:14036-0308
Mailing Address - Country:US
Mailing Address - Phone:585-599-4525
Mailing Address - Fax:585-599-4213
Practice Address - Street 1:8750 ALLEGHANY RD
Practice Address - Street 2:
Practice Address - City:CORFU
Practice Address - State:NY
Practice Address - Zip Code:14036-9702
Practice Address - Country:US
Practice Address - Phone:585-599-4525
Practice Address - Fax:585-599-4213
Is Sole Proprietor?:No
Enumeration Date:2021-09-07
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY604947163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool