Individual
NICOLE R NEWTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
919 E 32ND ST, AUSTIN, TX 78705-2703
(512) 476-7111
Mailing address
1551 SOUTHWEST BLVD APT 5AA, TULSA, OK 74107-2004
(214) 663-5013
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R0121878
OK
367500000X
Certified Registered Nurse Anesthetist
Primary
1007826
TX
Other
Enumeration date
08/21/2023
Last updated
01/16/2024
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