Provider Demographics
NPI:1194994202
Name:NEWSBAUM, JANICE
Entity type:Individual
Prefix:
First Name:JANICE
Middle Name:
Last Name:NEWSBAUM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25323 STANSBERY CIRCLE
Mailing Address - Street 2:
Mailing Address - City:CONIFER
Mailing Address - State:CO
Mailing Address - Zip Code:80433
Mailing Address - Country:US
Mailing Address - Phone:303-816-6060
Mailing Address - Fax:
Practice Address - Street 1:2550 S PARKER ROAD
Practice Address - Street 2:FLOAT POOL-3RD FLOOR
Practice Address - City:AURORA
Practice Address - State:OH
Practice Address - Zip Code:80014
Practice Address - Country:US
Practice Address - Phone:303-636-3016
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-22
Last Update Date:2008-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO45627164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse