Provider Demographics
NPI:1841852043
Name:NEEWAY, MARIANA S (ARNP)
Entity type:Individual
Prefix:
First Name:MARIANA
Middle Name:S
Last Name:NEEWAY
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:MARIANA
Other - Middle Name:S
Other - Last Name:SHELDON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:336 CHARDONNAY AVE
Mailing Address - Street 2:
Mailing Address - City:PROSSER
Mailing Address - State:WA
Mailing Address - Zip Code:99350-9515
Mailing Address - Country:US
Mailing Address - Phone:509-786-1576
Mailing Address - Fax:509-786-1574
Practice Address - Street 1:336 CHARDONNAY AVE
Practice Address - Street 2:
Practice Address - City:PROSSER
Practice Address - State:WA
Practice Address - Zip Code:99350-9515
Practice Address - Country:US
Practice Address - Phone:509-786-1576
Practice Address - Fax:509-786-1574
Is Sole Proprietor?:No
Enumeration Date:2019-07-08
Last Update Date:2024-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60978507363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health