Provider Demographics
NPI:1770177701
Name:NEWTON, DANIEL AMOS (RN)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:AMOS
Last Name:NEWTON
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2510 S MAURY ARCH
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-7702
Mailing Address - Country:US
Mailing Address - Phone:252-412-3452
Mailing Address - Fax:
Practice Address - Street 1:2510 S MAURY ARCH
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-7702
Practice Address - Country:US
Practice Address - Phone:252-412-3452
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-20
Last Update Date:2021-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC226546163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical