Individual
JUDY LYNNE NEWSOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
UNIVERSITY & WOODLAND AVENUE, PHILADELPHIA, PA 19104
(215) 823-5800
Mailing address
115 N DEWEY ST, PHILADELPHIA, PA 19139-2309
(215) 748-5908
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
223JS501
PA
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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