Individual
CARISSA NOVOTNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
132 FRANCISCAN WAY, LORETTO, PA 15940-9703
(814) 472-3130
Mailing address
132 FRANCISCAN WAY, LORETTO, PA 15940-9703
(814) 472-3130
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
PA
Other
Enumeration date
06/05/2026
Last updated
06/10/2026
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