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NPI Code Detail

MEDICARE: KATHERINE ANN NEWCOMER CRNA

MEDICARE: KATHERINE ANN NEWCOMER CRNA
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
1367500000XCertified Registered Nurse Anesthetist28243422CIN

General Provider Information

NPI Number : 1235096355
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE ANN NEWCOMER CRNA
Provider Business Mailing Address
First Line : 2022 E FRANKLIN ST
Second Line :
City : EVANSVILLE
State : IN
Zip : 47711-6036
Country : US
Telephone Number : 219-895-0237
Fax Number :
Provider Business Practice Location Address
First Line : 200 HIGH PARK AVE
Second Line :
City : GOSHEN
State : IN
Zip : 46526-4810
Country : US
Telephone Number : 574-364-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2026
Last Update Date : 01/09/2026

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Directions to “ KATHERINE ANN NEWCOMER CRNA” Practice Location

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