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1013524891
ETHAN NEWHAM
RICHMOND, VA
NPI
1013524891
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner Acute Care
(Licence: VA 0024180239)
Enumeration Date
2020-09-25
Last Update Date
2020-10-14
Business Address
ETHAN NEWHAM AGACNP-BC
1213 E CLAY ST
RICHMOND, VA 23298-5071
Phone number: 804-828-9000
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Mailing Address
ETHAN NEWHAM AGACNP-BC
1213 E CLAY ST
RICHMOND, VA 23298-5071
Phone number: 800-762-6161
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