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NPI Code Detail

MEDICARE: REBECCA RUTH NOVAK FNP

MEDICARE: REBECCA RUTH NOVAK FNP
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 PractitionerAPN000634NV
2363LF0000XFamily Nurse Practitioner9308CA
3363LF0000XFamily Nurse Practitioner0991938CO
4363LF0000XFamily Nurse PractitionerAPN.0991938-NPCO

General Provider Information

NPI Number : 1124045141
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA RUTH NOVAK FNP
Provider Business Mailing Address
First Line : PO BOX 842578
Second Line :
City : KANSAS CITY
State : MO
Zip : 64184-2578
Country : US
Telephone Number : 970-926-6350
Fax Number : 970-926-6348
Provider Business Practice Location Address
First Line : 50 BUCK CREEK RD STE 100
Second Line :
City : AVON
State : CO
Zip : 81620-5428
Country : US
Telephone Number : 970-945-2840
Fax Number : 970-945-2893
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2006
Last Update Date : 06/06/2025

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Directions to “ REBECCA RUTH NOVAK FNP” Practice Location

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