Individual
NICHELLE NEWTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 KIRK AVE, BALTIMORE, MD 21218-3647
(410) 467-7140
Mailing address
2800 KIRK AVE, BALTIMORE, MD 21218-3647
(410) 467-7140
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
R23439
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000
CHARITY
—
Enumeration date
02/04/2020
Last updated
02/04/2020
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