Provider Demographics
NPI:1750014007
Name:NEWMANN-GODFUL AFH LLC
Entity type:Organization
Organization Name:NEWMANN-GODFUL AFH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:NEWMANN-GODFUL
Authorized Official - Suffix:
Authorized Official - Credentials:BSN
Authorized Official - Phone:253-250-8326
Mailing Address - Street 1:13607 67TH AVE E
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98373-6342
Mailing Address - Country:US
Mailing Address - Phone:253-250-8326
Mailing Address - Fax:
Practice Address - Street 1:13607 67TH AVE E
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98373-6342
Practice Address - Country:US
Practice Address - Phone:253-250-8326
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-05
Last Update Date:2022-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care