Individual
WANDA CAROL NEWSOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
100 MULLINS DR STE A1, LEBANON, OR 97355-2868
(541) 766-0200
(541) 766-6618
Mailing address
PO BOX 579, CORVALLIS, OR 97339-0579
(541) 766-0200
(541) 766-6618
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201908923NP-PP
OR
363LF0000X
Family Nurse Practitioner
R870610
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01133325
—
MS
01
—
9876741
AETNA
MS
01
—
P01341901
RAILROAD MEDICARE
MS
Enumeration date
09/22/2011
Last updated
04/29/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us