Individual
JUDITH ANNE NEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
5151 E BROADWAY RD STE 107, MESA, AZ 85206-1346
(480) 290-7000
(480) 325-3461
Mailing address
5151 E BROADWAY RD STE 107, MESA, AZ 85206-1346
(480) 290-7000
(602) 254-6840
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN067066
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP0391
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
313552
—
AZ
01
—
AP0391
LICENSE
AZ
Enumeration date
07/23/2006
Last updated
06/15/2023
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