Individual
MRS. MARIE CATHLEEN NEWSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3100 TELEGRAPH AVE, OAKLAND, CA 94609-3239
(510) 452-5231
Mailing address
11875 DUBLIN BLVD, STE C140, DUBLIN, CA 94568-2843
(925) 587-2500
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
NP19848
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP 19848
BOARD OF REGISTERED NURSING
CA
01
—
RN 771527
BOARD OF REGISTERED NURSING
CA
Enumeration date
12/02/2010
Last updated
01/16/2018
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