Provider Demographics
NPI:1508222365
Name:NEWLIN, ANOUK L
Entity type:Individual
Prefix:MS
First Name:ANOUK
Middle Name:L
Last Name:NEWLIN
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:ANOUK
Other - Middle Name:L
Other - Last Name:LUGRIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:PO BOX 24
Mailing Address - Street 2:
Mailing Address - City:RUNNING SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92382-0024
Mailing Address - Country:US
Mailing Address - Phone:909-273-8462
Mailing Address - Fax:
Practice Address - Street 1:11201 BENTON ST
Practice Address - Street 2:
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92357-1000
Practice Address - Country:US
Practice Address - Phone:800-741-8387
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-11
Last Update Date:2016-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA602063163W00000X
CA163WC0400X163WC0400X
CA163WF0300X163WF0300X
CA163WP2201X163WP2201X
CA163WW0101X163WW0101X
CA163WE0003X163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WC0400XNursing Service ProvidersRegistered NurseCase Management
No163WF0300XNursing Service ProvidersRegistered NurseFlight
No163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care
No163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory