Individual
ATHENA NEWELL
Active
Individual
ATHENA NEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
29689
SC
207Q00000X
Family Medicine Physician
AP138047
TX
363LF0000X
Family Nurse Practitioner
Primary
287975
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
287975
STATE LICENSE
GA
01
—
29689
FAMILYPRACTICE
SC
01
—
46-4599729
FAMILY PRACTICE
—
Enumeration date
07/14/2018
Last updated
01/23/2026
Update your record
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