Provider Demographics
NPI:1982937157
Name:NEWARA, KATHRYN ERIN (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:ERIN
Last Name:NEWARA
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:ERIN
Other - Last Name:OBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:308 STATE ST
Mailing Address - Street 2:
Mailing Address - City:BADEN
Mailing Address - State:PA
Mailing Address - Zip Code:15005
Mailing Address - Country:US
Mailing Address - Phone:724-650-3926
Mailing Address - Fax:
Practice Address - Street 1:308 STATE ST
Practice Address - Street 2:
Practice Address - City:BADEN
Practice Address - State:PA
Practice Address - Zip Code:15005-1904
Practice Address - Country:US
Practice Address - Phone:724-650-3926
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-06
Last Update Date:2021-04-02
Deactivation Date:2021-02-09
Deactivation Code:
Reactivation Date:2021-03-08
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
PASP023554363LP0808X
PA2020168113363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)