Provider Demographics
NPI:1265821771
Name:NEWCOMB, CHERYL STEELE (NP-C)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:STEELE
Last Name:NEWCOMB
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:CHERYL
Other - Middle Name:LYNN
Other - Last Name:STEELE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:19947 TAMIAMI AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-3366
Mailing Address - Country:US
Mailing Address - Phone:813-931-2955
Mailing Address - Fax:
Practice Address - Street 1:19947 TAMIAMI AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-3366
Practice Address - Country:US
Practice Address - Phone:813-931-2955
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-21
Last Update Date:2015-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9181339363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily