Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | NJ000857 | NJ |
N | 363LN0000X | Nurse Practitioner - Neonatal | SP010461 | PA |
NPI | 1083704373 |
---|---|
Provider Name | Chenoa D Newbey |
First Address | Camden, NJ 08103-1088 |
Second Address | Camden, NJ 08103 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/10/2006 |
Last Update Date | 23/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
NR109962 | NJ MEDICAL LICENSE (01) | NJ |