Individual
MARTHA AMANDA NEWCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMH-NP
Contact information
Practice address
123 N MCCREARY ST, FORT BRANCH, IN 47648-1313
(812) 753-1039
(812) 753-1122
Mailing address
123 N MCCREARY ST, FORT BRANCH, IN 47648-1313
(812) 753-1039
(812) 753-1122
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71010385A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71010385A
IN
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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