Provider Demographics
NPI:1366013435
Name:NEWMAN, ERICA (CNA, PCT)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:CNA, PCT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1053 S PEPPERIDGE DR
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:TX
Mailing Address - Zip Code:75134-2038
Mailing Address - Country:US
Mailing Address - Phone:214-484-3347
Mailing Address - Fax:
Practice Address - Street 1:1053 S PEPPERIDGE DR
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:TX
Practice Address - Zip Code:75134-2038
Practice Address - Country:US
Practice Address - Phone:214-484-3347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-08
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Single Specialty