Individual
MRS. DENISE MARIE NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
5555 GROSSMONT CENTER DR, PRENATAL CLINIC, LA MESA, CA 91942-3019
(619) 740-4721
(619) 740-4971
Mailing address
8030 SITIO CAUCHO, CARLSBAD, CA 92009-6954
(760) 753-6357
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
NP15654
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
653398
RN LICENSE NUMBER
CA
01
—
NP15654
FURNISHING NUMBER
CA
Enumeration date
06/07/2007
Last updated
03/07/2023
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