Individual
MA ELLEN NOVICIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
720 GOLDER AVE, ODESSA, TX 79761-4442
(432) 337-3117
(432) 640-2868
Mailing address
PO BOX 2129, ODESSA, TX 79760-2129
(432) 337-3117
(432) 640-2868
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP110326
TX
Other
Enumeration date
06/08/2006
Last updated
04/02/2020
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