Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | 45860 | KS |
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 2006016795 | MO |
NPI | 1235219874 |
---|---|
Provider Name | Douglas Eugene Newson |
First Address | Kansas City, MO 64151-4636 |
Second Address | Overland Park, KS 66215-2306 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 29/06/2015 |