# NOVA INTEGRATED CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679355358
- **Authorized official:** JILL BRUNSTAD PA (OWNER/PHYSICIAN ASSISTANT)
- **Authorized official phone:** (715) 891-0088

## Contact information

- **Practice address:** 302 W PINE ST STE 2, EAGLE RIVER, WI 54521-9349
- **Practice address phone:** (715) 891-0088
- **Mailing address:** 302 W PINE ST STE 2, EAGLE RIVER, WI 54521-9349
- **Mailing address phone:** (715) 891-0088

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/18/2023
- **Last updated:** 10/18/2023