Individual
SU-ANN NEWPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
474 N YELLOW SPRINGS ST, SPRINGFIELD, OH 45504-2463
(937) 399-9500
(937) 342-4242
Mailing address
474 N YELLOW SPRINGS ST, SPRINGFIELD, OH 45504-2463
(937) 399-9500
(937) 342-4242
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
APRN.CNS.03726
OH
Other
Enumeration date
11/13/2018
Last updated
07/16/2019
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