Provider Demographics
NPI:1255547170
Name:NEWTON, EILEEN MARIE (ARNP)
Entity type:Individual
Prefix:MRS
First Name:EILEEN
Middle Name:MARIE
Last Name:NEWTON
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MRS
Other - First Name:EILEEN
Other - Middle Name:MARIE
Other - Last Name:COLLINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:8919 NE 198TH ST
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011-5905
Mailing Address - Country:US
Mailing Address - Phone:425-770-6271
Mailing Address - Fax:425-261-4479
Practice Address - Street 1:1330 ROCKEFELLER AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-1684
Practice Address - Country:US
Practice Address - Phone:425-261-4425
Practice Address - Fax:425-261-4479
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2020-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30006544363LX0106X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LX0106XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerOccupational Health