| Doctor Name: | MS. NANCY NOVIG |
| NPI Number: | 1013029412 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNA, MS |
| License Number: | 200950055NP |
| Business Practice Address: | 10180 Se Sunnyside Rd Clackamas, OR - 970158970 |
| Business Phone Number: | 5038133860 |
| Business Fax Number: | |
| Mailing Address: | 500 Ne Multnomah St, Suite 100 PORTLAND |
| State: | OR |
| Postal Code: | 972322023 |
| Phone Number: | 5038133860 |
| Fax Number: | |
| NPI Enumeration Date: | 08/31/2006 |
| NPI Last Update Date: | 11/25/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | 200950055NP |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |