Provider Demographics
NPI:1073105557
Name:NEWTON, REBECCA ADELAIDE (NP)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:ADELAIDE
Last Name:NEWTON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:453 COUNTRY VIEW LN
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-5613
Mailing Address - Country:US
Mailing Address - Phone:214-908-5393
Mailing Address - Fax:
Practice Address - Street 1:453 COUNTRY VIEW LN
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-5613
Practice Address - Country:US
Practice Address - Phone:214-908-5393
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-06
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX858039363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1031862OtherTEXAS BOARD OF NURSING APRN