MEDICARE: MS. NANCY DEANE NEWBURY ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	1161862	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821042425
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NANCY DEANE NEWBURY ARNP

Provider Business Mailing Address
First Line	:	9220 SE LACREEK CT
Second Line	:
City	:	HOBE SOUND
State	:	FL
Zip	:	33455-8954
Country	:	US
Telephone Number	:	772-545-3993
Fax Number	:

Provider Business Practice Location Address
First Line	:	4500 W MIDWAY RD
Second Line	:	NEW HORIZONS OF THE TREASURE COAST INC
City	:	FT PIERCE
State	:	FL
Zip	:	34981
Country	:	US
Telephone Number	:	772-221-4088
Fax Number	:	772-221-4089

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	09/28/2020

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