Provider Demographics
NPI:1184914327
Name:NEWLOVE, TANYA M (NNP)
Entity type:Individual
Prefix:
First Name:TANYA
Middle Name:M
Last Name:NEWLOVE
Suffix:
Gender:F
Credentials:NNP
Other - Prefix:
Other - First Name:TANYA
Other - Middle Name:M
Other - Last Name:DEMERITT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1000 HADDONFIELD BERLIN RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-3520
Mailing Address - Country:US
Mailing Address - Phone:856-782-2212
Mailing Address - Fax:856-782-2266
Practice Address - Street 1:2600 BRUCE B DOWNS BLVD
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-9207
Practice Address - Country:US
Practice Address - Phone:813-929-5000
Practice Address - Fax:813-929-5317
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-08
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3006849363LN0000X
CT6537363LN0000X
FLAPRN9464414363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal