Individual
ALLYSSA BLAIRE NEWTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
4207 LAKE BOONE TRL STE 220, RALEIGH, NC 27607-6685
(919) 784-1410
Mailing address
4207 LAKE BOONE TRL STE 220, RALEIGH, NC 27607-6685
(919) 784-1410
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
5011076
NC
Other
Enumeration date
10/06/2018
Last updated
04/19/2019
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