| Carly Newton, FNP-C | |
|
14805 North Outer 40 Rd Ste 320, Chesterfield, MO 63017-6060 | |
| (636) 536-0183 | |
| (636) 536-0526 |
| Full Name | Carly Newton |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 14805 North Outer 40 Rd Ste 320, Chesterfield, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124456736 | NPI | - | NPPES |
| 2014001970 | Other | MO | ADULT NURSE PRACTITIONER |
| 041404932 | Other | IL | ILLINOIS STATE LICENSE FOR RN |
| 2010022356 | Other | MO | MISSOURI STATE LICENSE FOR RN |
| 209019723 | Other | IL | ADULT/FAMILY NURSE PRACTITIONER |
| 2019010533 | Other | MO | FAMILY NURSE PRACTITIONER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 2014001970 (Missouri) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 209019723 (Illinois) | Primary |
| Entity Name | Specialized Wound Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962430157 PECOS PAC ID: 4284628173 Enrollment ID: O20040413001407 |
| Mailing Address | Practice Location Address |
|---|---|
| Carly Newton, FNP-C 3785 Waterloo Rd, Waterloo, IL 62298-4409 Ph: (618) 409-9900 | Carly Newton, FNP-C 14805 North Outer 40 Rd Ste 320, Chesterfield, MO 63017-6060 Ph: (636) 536-0183 |
Mrs. Elizabeth Ann Curtis, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15740 S Outer 40 Rd, Chesterfield, MO 63017 Phone: 636-237-4200 | |
Lindsey Marie Illinger, A-GNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 232 S Woods Mill Rd Ste 400, Chesterfield, MO 63017 Phone: 314-205-6744 | |
Stephanie Lickerman, APRN, ANP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 121 Saint Lukes Center Dr, Ste 303, Chesterfield, MO 63017 Phone: 314-434-3278 Fax: 314-590-5949 | |
Mrs. Toni Edwards, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 232 S Woods Mill Rd, Chesterfield, MO 63017 Phone: 314-878-2888 | |
Ann Marie Byrd, RN, MSN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15838 Fountain Plaza Dr Ste A, Chesterfield, MO 63017 Phone: 636-484-5277 | |
Maria Theresa Weir, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 222 S Woods Mill Rd, Suite 410n, Chesterfield, MO 63017 Phone: 314-469-6224 Fax: 314-469-0744 | |
Mrs. Allison Elaine Hunt, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1751 Clarkson Rd, Chesterfield, MO 63017 Phone: 636-519-9559 |