Provider Demographics
NPI:1821345570
Name:NEWSOME, BRITTIANY MICHELLE (NP-C)
Entity type:Individual
Prefix:
First Name:BRITTIANY
Middle Name:MICHELLE
Last Name:NEWSOME
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 EATON DR STE 1
Mailing Address - Street 2:
Mailing Address - City:PAGOSA SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:81147-8203
Mailing Address - Country:US
Mailing Address - Phone:970-880-0951
Mailing Address - Fax:970-507-6016
Practice Address - Street 1:46 EATON DR STE 1
Practice Address - Street 2:
Practice Address - City:PAGOSA SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:81147-8203
Practice Address - Country:US
Practice Address - Phone:970-880-0951
Practice Address - Fax:970-507-6016
Is Sole Proprietor?:No
Enumeration Date:2012-08-13
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN190752363LF0000X
COAPN.0991827-NP363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily