Individual
MRS. MONA LISA NOVOTNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1701 INDEPENDENCE BLVD, VIRGINIA BEACH, VA 23455-4042
(757) 460-2607
Mailing address
4732 FIRST COURT RD, VIRGINIA BEACH, VA 23455-2846
(757) 363-2655
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024167820
VA
Other
Enumeration date
12/16/2008
Last updated
12/01/2010
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