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NPI Code Detail

MEDICARE: BRITTANY NICOLE NOVAK

MEDICARE: BRITTANY NICOLE NOVAK
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
1376J00000XHomemaker

General Provider Information

NPI Number : 1770199945
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY NICOLE NOVAK
Provider Business Mailing Address
First Line : 1205 BROAD ST
Second Line :
City : SUMMERSVILLE
State : WV
Zip : 26651-1805
Country : US
Telephone Number : 304-872-1162
Fax Number : 304-883-2033
Provider Business Practice Location Address
First Line : 1205 BROAD ST
Second Line :
City : SUMMERSVILLE
State : WV
Zip : 26651-1805
Country : US
Telephone Number : 304-872-1162
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2020
Last Update Date : 09/22/2020

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Directions to “ BRITTANY NICOLE NOVAK ” Practice Location

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