| Doctor Name: | REBECCA RUTH NOVAK |
| NPI Number: | 1124045141 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | APN000634 |
| Business Practice Address: | 1905 Blake Ave Ste 101 Glenwood Springs, CO - 816014206 |
| Business Phone Number: | 9709452840 |
| Business Fax Number: | 9709452893 |
| Mailing Address: | 1905 Blake Ave Ste 101, GLENWOOD SPRINGS |
| State: | CO |
| Postal Code: | 816014206 |
| Phone Number: | 9709452840 |
| Fax Number: | 9709452893 |
| NPI Enumeration Date: | 07/16/2006 |
| NPI Last Update Date: | 10/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | APN000634 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NV |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |