Individual
SUSAN M NEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
401 MATTHEW ST, MARIETTA, OH 45750-1635
(740) 376-1994
(740) 376-1940
Mailing address
PO BOX 449, MARIETTA, OH 45750-0449
(740) 374-4500
(740) 374-5887
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
COA.07998-NA
OH
367500000X
Certified Registered Nurse Anesthetist
RN264968
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000344004
ANTHEM
—
05
—
2523424
—
OH
05
—
3810009462
—
WV
01
—
P00180759
MEDICARE RAILROAD
—
01
—
P00698950
MEDICARE RAILROAD
OH
Enumeration date
05/26/2006
Last updated
11/07/2013
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