Individual
ELIZABETH CICELY NEWSOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
22 GINGERLY LN, GREENSBORO, NC 27455-2886
(336) 562-8424
(833) 993-3475
Mailing address
22 GINGERLY LN, GREENSBORO, NC 27455-2886
(336) 456-2842
(833) 993-4967
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
800081
NC
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
38487
NC
Other
Enumeration date
12/08/2009
Last updated
11/18/2024
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