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NPI Code Detail

MEDICARE: DENISE NOVISKI CRNP

MEDICARE: DENISE NOVISKI CRNP
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 PractitionerNP08214OH
2363LF0000XFamily Nurse Practitioner08214OH

General Provider Information

NPI Number : 1588644645
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENISE NOVISKI CRNP
Provider Business Mailing Address
First Line : 10085 DARROW RD
Second Line :
City : TWINSBURG
State : OH
Zip : 44087-1409
Country : US
Telephone Number : 330-425-4300
Fax Number : 330-963-3933
Provider Business Practice Location Address
First Line : 10085 DARROW RD
Second Line :
City : TWINSBURG
State : OH
Zip : 44087-1409
Country : US
Telephone Number : 330-425-4300
Fax Number : 330-963-3933
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2006
Last Update Date : 01/23/2022

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