Individual
TETYANA NOVIKOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11 NEVINS STREET, SUITE 303 - UROLOGY, BRIGHTON, MA 02135-3514
(617) 787-8181
(617) 787-4644
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2287096
MA
Other
Enumeration date
02/06/2016
Last updated
02/11/2026
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