Ethan Newham, AGACNP-BC
Ethan Newham, AGACNP-BC is a Nurse Practitioner in Richmond, Virginia. Qualified in 2020, 6 years ago. Practices with Sound Physicians Intensivists of Virginia LLC, a 51-clinician group and accepts Medicare assignment. Licensed in Virginia.
- Years since qualifying
- 6
- Licensed in
- VA
- In the registry since
- 2020
Practice location Address checks out
1213 E Clay StRichmond, VA 23298-5071
Phone: (804) 828-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Acute Care Nurse Practitioner (primary) | Taxonomy 363LA2100X · Licence 0024180239 (VA) |
|---|
Record details
| NPI number | 1013524891 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | AGACNP-BC |
| Sole proprietor | No |
| NPI enumerated | September 25, 2020 |
| Last updated in NPPES | October 14, 2020 |
| Certification date | October 14, 2020 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Sound Physicians Intensivists Of Virginia Llc — 51 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
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