Individual
LARESA VICTORIA NEWTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3890 BIENVILLE BLVD, OCEAN SPRINGS, MS 39564-5803
(228) 872-6291
(228) 872-7627
Mailing address
3890 BIENVILLE BLVD, OCEAN SPRINGS, MS 39564-5803
(228) 872-7605
(228) 872-7627
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R874128
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07382051
—
MS
Enumeration date
03/06/2007
Last updated
01/27/2014
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