Individual
DR. PETER NICHOLAS NOVALIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6161 W CHARLESTON BLVD, SOUTHERN NEVADA ADULT MENTAL HEALTH SERVICES, LAS VEGAS, NV 89146-1126
(702) 486-8051
(702) 486-7608
Mailing address
6161 W CHARLESTON BLVD, SOUTHERN NEVADA ADULT MENTAL HEALTH SERVICES, LAS VEGAS, NV 89146-1126
(702) 486-8051
(702) 486-7608
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
10051
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E58104
PREVIOUS MEDICARE UPIN
NV
Enumeration date
01/24/2007
Last updated
07/08/2007
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