Healthcare Provider Details

I. General information

NPI: 1912039603
Provider Name (Legal Business Name): VALERIE NEWCOME CDE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2007
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 STATE HIGHWAY 248 STE 201
BRANSON MO
65616-3732
US

IV. Provider business mailing address

1150 STATE HWY 248 SUITE 100
BRANSON MO
65616
US

V. Phone/Fax

Practice location:
  • Phone: 417-335-7453
  • Fax: 417-335-7105
Mailing address:
  • Phone: 417-335-7453
  • Fax: 417-335-7105

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License NumberUNKNOWN
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: