Carol Jean Novicki
Technician, Attendant Care Provider in St. Louis Park, MN. Individual provider (NPI-1).
NPI number1164073946
StatusActive
Last updated in NPPESSep 24, 2019
Details
- NPI
- 1164073946
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Carol Jean Novicki
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 24, 2019
- Last updated
- Sep 24, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
4718 Ottawa Court SouthSt. Louis Park, MN 55416-3229
Phone 612-280-4886
Mailing address
4718 Ottawa Court SouthSt. Louis Park, MN 55416-3229
Phone 612-280-4886
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Attendant Care Provider providers in St Louis Park, MN
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.