Individual
ETHAN NEWHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
1213 E CLAY ST, RICHMOND, VA 23298-5071
(804) 828-9000
Mailing address
1213 E CLAY ST, RICHMOND, VA 23298-5071
(800) 762-6161
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024180239
VA
Other
Enumeration date
09/25/2020
Last updated
10/14/2020
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