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Wanda Carol Newsome, CNP
Family Nurse Practitioner in Lebanon, Oregon
NPI 1306129614

Wanda Carol Newsome is a Family Nurse Practitioner based in Corvallis, OR and is specialized in Family. Wanda Carol Newsome practices in Lebanon, OR and has the professional credentials of CNP. The NPI Number for Wanda Carol Newsome is 1306129614 and holds a License No. 201908923NP-PP (Oregon).

The current practice location address for Wanda Carol Newsome is 100 Mullins Dr Ste A1, Lebanon, OR and can be reached out via phone at 541-766-0200 and via fax at 541-766-6618.

Location: 100 Mullins Dr Ste A1, Lebanon, OR, 97339-0579
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306129614
Provider Name
Wanda Carol Newsome
Credential
CNP
Provider Entity Type
Individual
Gender
Female
Address
100 Mullins Dr Ste A1, Lebanon, OR, 97339-0579
Phone Number
541-766-0200
Fax Number
541-766-6618
Provider Enumeration Date
09/22/2011
Last Update Date
01/18/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
P01341901 01 MS RAILROAD MEDICARE
01133325 05 MS
9876741 01 MS AETNA
institution
Provider Business Practice Location Address Details
Address
100 Mullins Dr Ste A1
City
Lebanon
State
Oregon
Zip
97355-2868
Phone Number
541-766-0200
Fax Number
541-766-6618
person
Provider Business Mailing Address Details
Address
100 Mullins Dr Ste A1
City
Lebanon
State
Oregon
Zip
97355-2868
Phone Number
541-766-0200
Fax Number
541-766-6618
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
R870610 (Mississippi)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
201908923NP-PP (Oregon)
Definition
Definition to come...
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