Provider Demographics
NPI:1629800644
Name:NEWMAN, LAURA (NP)
Entity type:Individual
Prefix:MS
First Name:LAURA
Middle Name:
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2211 BROWN ST
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:IN
Mailing Address - Zip Code:46016-4220
Mailing Address - Country:US
Mailing Address - Phone:765-640-2100
Mailing Address - Fax:795-640-2105
Practice Address - Street 1:18881 IMMI WAY
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:IN
Practice Address - Zip Code:46074-3001
Practice Address - Country:US
Practice Address - Phone:317-867-8135
Practice Address - Fax:317-867-8127
Is Sole Proprietor?:No
Enumeration Date:2024-08-19
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71015596A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily