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Individual

L'ANITA R NEWBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
1075 E HUDSON BLVD, GASTONIA, NC 28054-1694
(866) 389-2727
(401) 216-3854
Mailing address
1075 E HUDSON BLVD, GASTONIA, NC 28054-1694
(866) 389-2727
(401) 216-3854

Taxonomy

Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
189759
NC
207QA0505X
Adult Medicine Physician
189759
NC
207R00000X
Internal Medicine Physician
189759
NC
208000000X
Pediatrics Physician
189759
NC
2080A0000X
Pediatric Adolescent Medicine Physician
189759
NC
363LF0000X
Family Nurse Practitioner
Primary
NA
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1285759605
NC
05
1417072927
NC
05
1427260108
NC
01
1558487991
BLUE CROSS BLUE SHIELD NC
NC
05
1558487991
NC
05
1639295074
NC
01
1689635237
AETNA
NC
05
1689635237
NC
Enumeration date
02/29/2008
Last updated
03/18/2025
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