| Doctor Name: | BETSY NOVOTNY |
| NPI Number: | 1033402300 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CPNP |
| License Number: | 20553 |
| Business Practice Address: | 2 Upper Ragsdale Dr Suite B210 Monterey, CA - 939405736 |
| Business Phone Number: | 8313330999 |
| Business Fax Number: | 8313330909 |
| Mailing Address: | 2 Upper Ragsdale Dr, Suite B210 MONTEREY |
| State: | CA |
| Postal Code: | 939405736 |
| Phone Number: | 8313330999 |
| Fax Number: | 8313330909 |
| NPI Enumeration Date: | 05/19/2011 |
| NPI Last Update Date: | 05/19/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 20553 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |