Provider Demographics
NPI:1417081357
Name:NEWMAN, MARCY BETH (MS, RN, CCRN, PCCN,)
Entity Type:Individual
Prefix:MRS
First Name:MARCY
Middle Name:BETH
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:MS, RN, CCRN, PCCN,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10323 CROSS CREEK BLVD, STE B
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647
Mailing Address - Country:US
Mailing Address - Phone:813-309-4743
Mailing Address - Fax:505-992-3241
Practice Address - Street 1:10323 CROSS CREEK BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647
Practice Address - Country:US
Practice Address - Phone:813-309-4743
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2014-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM885171100000X
FLAP3488171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist