Individual
LANA A NOVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP BC
Contact information
Practice address
123 PARK AVE, WEST SPRINGFIELD, MA 01089-3337
(413) 998-1980
Mailing address
238 W MAIN ST, EAST BROOKFIELD, MA 01515-1506
(774) 289-1437
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
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