Doctor Name: | MRS. MELISSA NOVITS |
NPI Number: | 1073939633 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 14871-NP |
Business Practice Address: | 7206 Market St Suite A Boardman, OH - 445124507 |
Business Phone Number: | 3307263379 |
Business Fax Number: | 3307268683 |
Mailing Address: | Po Box 1239, TROY |
State: | MI |
Postal Code: | 480991239 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/06/2014 |
NPI Last Update Date: | 03/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 14871-NP |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |