Provider Demographics
NPI:1316763303
Name:NEWTON, NORRIS CHAD (CRNP)
Entity type:Individual
Prefix:
First Name:NORRIS
Middle Name:CHAD
Last Name:NEWTON
Suffix:
Gender:M
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1408 S BROAD ST FL 1
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19146-4808
Mailing Address - Country:US
Mailing Address - Phone:215-755-6462
Mailing Address - Fax:215-755-6487
Practice Address - Street 1:1408 S BROAD ST FL 1
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19146-4808
Practice Address - Country:US
Practice Address - Phone:215-755-6462
Practice Address - Fax:215-755-6487
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-25
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP029676363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty