Provider Demographics
NPI:1235744905
Name:NEWCOMER, ROBIN RENEE (RN)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:RENEE
Last Name:NEWCOMER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11302 HIGHWAY 75
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68152-6101
Mailing Address - Country:US
Mailing Address - Phone:402-659-9796
Mailing Address - Fax:
Practice Address - Street 1:8601 ARBOR ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68124-2149
Practice Address - Country:US
Practice Address - Phone:402-408-8652
Practice Address - Fax:402-390-6454
Is Sole Proprietor?:No
Enumeration Date:2020-09-10
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT68097163WS0200X
NE68097163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool