Healthcare Provider Details

I. General information

NPI: 1689583064
Provider Name (Legal Business Name): MEGAN ELIZABETH NOVOTNY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2130 STOUT ST
DENVER CO
80205-2827
US

IV. Provider business mailing address

1712 S KLINE WAY
LAKEWOOD CO
80232-6340
US

V. Phone/Fax

Practice location:
  • Phone: 440-865-9778
  • Fax:
Mailing address:
  • Phone: 440-865-9778
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License NumberRN.1676330
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: