Individual
LANA A NOVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
282015
MA
363LF0000X
Family Nurse Practitioner
Primary
282015
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110022061E
GROUP MEDICAID NUMBER
MA
Enumeration date
11/03/2009
Last updated
10/28/2021
Update your record
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