Doctor Name: | KATHERINE M NOVOTNY |
NPI Number: | 1477671642 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | COA09386NP |
Business Practice Address: | 7580 Auburn Rd Suite 301 Concord Twp, OH - 440779615 |
Business Phone Number: | 4403527546 |
Business Fax Number: | 4403525260 |
Mailing Address: | 7580 Auburn Rd, Ste 301 PAINESVILLE |
State: | OH |
Postal Code: | 440779618 |
Phone Number: | 4403527546 |
Fax Number: | 4403525260 |
NPI Enumeration Date: | 03/27/2007 |
NPI Last Update Date: | 05/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | COA09386NP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |