Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 21816 | CA |
NPI | 1023459294 |
---|---|
Provider Name | Mrs. Kathy Anne Newell |
First Address | Escondido, CA 92029-2129 |
Second Address | Escondido, CA 92029-2129 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2013 |
Last Update Date | 16/07/2013 |