Provider Demographics
NPI:1962118398
Name:NEWTON, LEAH LIN (APRN, FNP-BC)
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:LIN
Last Name:NEWTON
Suffix:
Gender:F
Credentials:APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 N RODEO DR
Mailing Address - Street 2:
Mailing Address - City:COMANCHE
Mailing Address - State:OK
Mailing Address - Zip Code:73529-1426
Mailing Address - Country:US
Mailing Address - Phone:580-439-5848
Mailing Address - Fax:580-439-5847
Practice Address - Street 1:400 N RODEO DR
Practice Address - Street 2:
Practice Address - City:COMANCHE
Practice Address - State:OK
Practice Address - Zip Code:73529-1426
Practice Address - Country:US
Practice Address - Phone:580-439-5848
Practice Address - Fax:580-439-5847
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-30
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK211638261QU0200X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care