Individual
TAMMY ANN NOVOTNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
7909 FREDERICKSBURG RD STE 130, SAN ANTONIO, TX 78229-3425
(210) 614-4544
(210) 679-3713
Mailing address
7909 FREDERICKSBURG RD STE 110, SAN ANTONIO, TX 78229-3400
(210) 614-4544
(210) 679-3724
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP012958
PA
363LA2100X
Acute Care Nurse Practitioner
Primary
AP136712
TX
Other
Enumeration date
08/15/2013
Last updated
11/20/2020
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