Newton, Laresa Victoria

Newton, Laresa Victoria is an individual health care provider with primary practice located at 3890 Bienville Blvd , Ocean Springs MS 39564-5803. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Newton, Laresa Victoria can be contacted via phone (228) 872-6291.

Contact Information

Primary practice address
3890 Bienville Blvd Ocean Springs MS 39564-5803
Phone: (228) 872-6291
Fax: (228) 872-7627
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X R874128 Mississippi

Profile Details

NPI number 1215067491
LBN Legal business name Newton, Laresa Victoria
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2007
Last updated Jan 27th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1215067491 NPPES
Mississippi MEDICAID 07382051

Popular Providers