Individual
ASHLEY NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NTP, RWS
Contact information
Practice address
138 W 5TH AVE, DENVER, CO 80204-5105
(708) 305-1767
Mailing address
1465 IVANHOE ST, DENVER, CO 80220-2628
(708) 305-1767
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
6197
CO
Other
Enumeration date
10/21/2022
Last updated
10/21/2022
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