Individual
PENNY B. NOVITOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2700 W 9TH AVE, SUITE 106, OSHKOSH, WI 54904-7247
(920) 223-3190
(920) 223-3184
Mailing address
2700 W 9TH AVE, SUITE 106, OSHKOSH, WI 54904-7247
(920) 223-3190
(920) 223-3184
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2884-033
WI
Other
Enumeration date
10/03/2006
Last updated
02/23/2015
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