Provider Demographics
NPI:1396774766
Name:NEWTON, MARIAN OPPY (NP--PSY)
Entity type:Individual
Prefix:
First Name:MARIAN
Middle Name:OPPY
Last Name:NEWTON
Suffix:
Gender:F
Credentials:NP--PSY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 STEEPLECHASE LN
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22602-6806
Mailing Address - Country:US
Mailing Address - Phone:540-722-9668
Mailing Address - Fax:540-665-5519
Practice Address - Street 1:158 FRONT ROYAL PIKE
Practice Address - Street 2:SUITE 200
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22602-4346
Practice Address - Country:US
Practice Address - Phone:540-667-8888
Practice Address - Fax:540-667-5663
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA00241664881363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAP63842Medicare UPIN