Provider Demographics
NPI:1841482304
Name:NEWTON, YOLANDA MARIE (MD)
Entity type:Individual
Prefix:
First Name:YOLANDA
Middle Name:MARIE
Last Name:NEWTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 11TH ST W
Mailing Address - Street 2:
Mailing Address - City:WILLISTON
Mailing Address - State:ND
Mailing Address - Zip Code:58801-4500
Mailing Address - Country:US
Mailing Address - Phone:701-774-7687
Mailing Address - Fax:701-572-1695
Practice Address - Street 1:1700 11TH ST W
Practice Address - Street 2:
Practice Address - City:WILLISTON
Practice Address - State:ND
Practice Address - Zip Code:58801-4500
Practice Address - Country:US
Practice Address - Phone:701-774-7687
Practice Address - Fax:701-572-1695
Is Sole Proprietor?:No
Enumeration Date:2007-08-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD#430488207V00000X
NC2009-01332207V00000X
ND12861207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCNC1056Medicaid
ND1841482304Medicaid
SCNC1056Medicaid