Provider Demographics
NPI:1780382176
Name:NEWTON, TEON EDESHA
Entity type:Individual
Prefix:
First Name:TEON
Middle Name:EDESHA
Last Name:NEWTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1657 CLIFFVIEW RD # 2
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44112-1110
Mailing Address - Country:US
Mailing Address - Phone:216-548-7217
Mailing Address - Fax:
Practice Address - Street 1:1657 CLIFFVIEW
Practice Address - Street 2:CLEVELAND
Practice Address - City:OHIO
Practice Address - State:OH
Practice Address - Zip Code:44112
Practice Address - Country:US
Practice Address - Phone:954-325-1796
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-16
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide