Healthcare Provider Details

I. General information

NPI: 1639648546
Provider Name (Legal Business Name): GEENA NOVINSKY MSN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/20/2018
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

435 SHREWSBURY ST
WORCESTER MA
01604-1689
US

IV. Provider business mailing address

157 PAIGE HILL RD
BRIMFIELD MA
01010-9779
US

V. Phone/Fax

Practice location:
  • Phone: 508-753-5554
  • Fax:
Mailing address:
  • Phone: 413-343-4175
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number7969
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number7969
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN2300629
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: