Nannette Newton
Community Based Residential Treatment Facility, Mental Illness in Surprise, AZ. Individual provider (NPI-1).
NPI number1013663640
StatusActive
Last updated in NPPESMay 1, 2024
Details
- NPI
- 1013663640
- Entity type
- Individual (NPI-1)
- Name
- Nannette Newton
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 22, 2022
- Certification date
- May 1, 2024
- Last updated
- May 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | BH7304 | AZ | Yes |
| 385HR2055X | Respite Care, Respite Care, Mental Illness, Child | BH7304 | AZ |
Practice location
16415 N 168th AveSurprise, AZ 85388-1330
Phone 520-582-7396
Mailing address
2025 N 3rd St Ste 300Phoenix, AZ 85004-1486
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