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Individual
TYRA NEWTON
Active
Individual
TYRA NEWTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
RN201648
GA
363LF0000X
Family Nurse Practitioner
Primary
RN201648
GA
Other
Enumeration date
03/22/2014
Last updated
04/25/2014
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