Newton, Laresa Victoria
Newton, Laresa Victoria is an individual health care provider with primary practice located at 3890 Bienville Blvd , Ocean Springs MS 39564-5803. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Newton, Laresa Victoria can be contacted via phone (228) 872-6291.Contact Information
Primary practice address
3890 Bienville Blvd
Ocean Springs MS 39564-5803
Phone: (228) 872-6291
Fax: (228) 872-7627
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | R874128 | Mississippi |
Profile Details
| NPI number | 1215067491 |
|---|---|
| LBN Legal business name | Newton, Laresa Victoria |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 6th, 2007 |
| Last updated | Jan 27th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215067491 | NPPES |
| Mississippi | MEDICAID | 07382051 |
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