Provider Demographics
NPI:1912113366
Name:NEWMAN, JUNE A (FNP)
Entity Type:Individual
Prefix:MRS
First Name:JUNE
Middle Name:A
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 MULBERRY DR
Mailing Address - Street 2:
Mailing Address - City:WAKEFIELD
Mailing Address - State:RI
Mailing Address - Zip Code:02879-1417
Mailing Address - Country:US
Mailing Address - Phone:401-783-8461
Mailing Address - Fax:
Practice Address - Street 1:1400 PONTIAC AVE
Practice Address - Street 2:JHU/PBG
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02920-4460
Practice Address - Country:US
Practice Address - Phone:401-468-3226
Practice Address - Fax:401-468-3255
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2009-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RINPP26966363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily