Individual
DEBRA R NEWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C, MPH
Contact information
Practice address
2325 CERRILLOS RD, SANTA FE, NM 87505-3373
(505) 438-0010
(505) 438-6011
Mailing address
779 PASEO CRESTA, SANTA FE, NM 87501-8958
(505) 983-5455
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1606084284
—
NM
01
—
NMAAA0020
MEDICARE PTAN
NM
Enumeration date
05/18/2007
Last updated
07/21/2022
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