Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | RN9315143 | FL |
NPI | 1003485145 |
---|---|
Provider Name | Twyla Newman |
First Address | Clearwater, FL 33764-2829 |
Second Address | Clearwater, FL 33764-2829 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2021 |
Last Update Date | 13/07/2021 |