Individual
MARY NEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
406 MORGAN ST, MADISONVILLE, LA 70447-9461
(615) 686-6429
Mailing address
406 MORGAN ST, MADISONVILLE, LA 70447-9461
(615) 686-6429
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
230676
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/21/2020
Last updated
06/15/2023
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