Individual
MRS. NICOLE R NEWCOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4505 NW FIELDING RD, TOPEKA, KS 66618-2651
(785) 270-0047
Mailing address
4505 NW FIELDING RD, TOPEKA, KS 66618-2651
(785) 270-0047
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-76114
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068002247
MEDICARE PTAN
KS
05
—
201085010C
—
KS
Enumeration date
08/14/2013
Last updated
08/01/2025
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