Healthcare Provider Details

I. General information

NPI: 1831008416
Provider Name (Legal Business Name): TASHANNA NEWMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5110 PROSPER PL APT 202
WINTER HAVEN FL
33880-2482
US

IV. Provider business mailing address

5110 PROSPER PL APT 202
WINTER HAVEN FL
33880-2482
US

V. Phone/Fax

Practice location:
  • Phone: 863-978-9116
  • Fax:
Mailing address:
  • Phone: 863-978-9116
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberRN9717712
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: