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NPI Code Detail

MEDICARE: EMMA NOVY NP

MEDICARE: EMMA NOVY NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerRN2390175MA
2163W00000XRegistered Nurse2390175MA

General Provider Information

NPI Number : 1265229058
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMMA NOVY NP
Provider Business Mailing Address
First Line : 200 QUANNAPOWITT PKWY
Second Line :
City : WAKEFIELD
State : MA
Zip : 01880-1314
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1 WIDGER RD
Second Line :
City : MARBLEHEAD
State : MA
Zip : 01945-2146
Country : US
Telephone Number : 781-631-5126
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2025
Last Update Date : 06/10/2026

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