Individual
CARLA NEWTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
101 S LOCUST ST, CENTRALIA, IL 62801-3506
(618) 533-1391
(618) 533-0012
Mailing address
402 LEAFLAND AVE, CENTRALIA, IL 62801-4319
(618) 322-2399
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
—
IL
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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