Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LN0000X | Nurse Practitioner - Neonatal | 3006849 | KY |
Y | 363LN0000X | Nurse Practitioner - Neonatal | 6537 | CT |
NPI | 1184914327 |
---|---|
Provider Name | Tanya M Newlove |
First Address | Voorhees, NJ 08043-3520 |
Second Address | Danbury, CT 06810-6099 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2011 |
Last Update Date | 12/08/2016 |