Individual
JENNIFER LYNN VANYO-NOVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
9000 W THUNDERBIRD RD STE 110, PEORIA, AZ 85381-4451
(557) 767-2668
Mailing address
9000 W THUNDERBIRD RD STE 110, PEORIA, AZ 85381-4451
(557) 767-2668
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
005562
AZ
207Q00000X
Family Medicine Physician
R70147
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102156
—
AZ
Enumeration date
07/03/2008
Last updated
06/20/2024
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