Individual provider · Type 1 NPI
Carly Newton, FNP-C
Adult Health Nurse Practitioner · Chesterfield, MO
NPI number
1124456736
Active
Practice location
14805 North Outer 40 Rd Ste 320
Chesterfield, MO 63017-6060
Fax (636) 536-0526
Mailing address
3785 Waterloo Rd
Waterloo, IL 62298-4409
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 2014001970 (MO) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 209019723 (IL) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1124456736
Carly Newton, FNP-C's National Provider Identifier is 1124456736, issued on Oct 16, 2013. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Chesterfield, MO. The record was last updated on Sep 18, 2024.