Individual
KATHERINE M NOVOTNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
7580 AUBURN RD, SUITE 301, CONCORD TWP, OH 44077-9615
(440) 352-7546
(440) 352-5260
Mailing address
7580 AUBURN RD, STE 301, PAINESVILLE, OH 44077-9618
(440) 352-7546
(440) 352-5260
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA09386NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2870960
—
OH
Enumeration date
03/27/2007
Last updated
05/12/2016
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