Provider Demographics
NPI:1952981987
Name:DONNA RUSH-NEWMAN P.A.
Entity type:Organization
Organization Name:DONNA RUSH-NEWMAN P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUSH-NEWMAN
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP,CS
Authorized Official - Phone:954-961-1500
Mailing Address - Street 1:3700 WASHINGTON ST STE 304
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-8258
Mailing Address - Country:US
Mailing Address - Phone:954-961-1500
Mailing Address - Fax:954-961-7942
Practice Address - Street 1:3700 WASHINGTON ST STE 304
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-8258
Practice Address - Country:US
Practice Address - Phone:954-961-1500
Practice Address - Fax:954-961-7942
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-13
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty