Provider Demographics
NPI:1386368207
Name:NEWMAN, MINDY RAYLUNN (PMHNP)
Entity type:Individual
Prefix:
First Name:MINDY
Middle Name:RAYLUNN
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1242
Mailing Address - Street 2:
Mailing Address - City:SPRINGERVILLE
Mailing Address - State:AZ
Mailing Address - Zip Code:85938-1242
Mailing Address - Country:US
Mailing Address - Phone:520-370-9021
Mailing Address - Fax:
Practice Address - Street 1:1500 S WHITE MOUNTAIN RD BLDG 3
Practice Address - Street 2:
Practice Address - City:SHOW LOW
Practice Address - State:AZ
Practice Address - Zip Code:85901-7111
Practice Address - Country:US
Practice Address - Phone:928-532-5838
Practice Address - Fax:928-892-5828
Is Sole Proprietor?:No
Enumeration Date:2022-10-04
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZRNP2816752084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry