Provider Demographics
NPI:1104943760
Name:NEWLAND, MARK (RN)
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:
Last Name:NEWLAND
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11835 REFUGEE RD SW
Mailing Address - Street 2:
Mailing Address - City:PATASKALA
Mailing Address - State:OH
Mailing Address - Zip Code:43062-8310
Mailing Address - Country:US
Mailing Address - Phone:740-927-7300
Mailing Address - Fax:
Practice Address - Street 1:11835 REFUGEE RD SW
Practice Address - Street 2:
Practice Address - City:PATASKALA
Practice Address - State:OH
Practice Address - Zip Code:43062-8310
Practice Address - Country:US
Practice Address - Phone:740-927-7300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN. 291447163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health