Individual provider · NPI-1

Elizabeth A Novotny, AGACNP-BC

Nurse Practitioner, Critical Care Medicine · Twinsburg, OH

NPI number1972040137
StatusActive
Last updated in NPPESSep 29, 2021

Details

NPI
1972040137
Entity type
Individual (NPI-1)
Name
Elizabeth A Novotny
Credential
AGACNP-BC
Sex
Female
Sole proprietor
No
Enumeration date
Jan 26, 2017
Certification date
Sep 29, 2021
Last updated
Sep 29, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LC0200X Nurse Practitioner, Critical Care Medicine2016023292OHYes

Practice location

2030 Buchtel St # 1
Twinsburg, OH 44087-2051

Phone 234-212-1389

Mailing address

2030 Buchtel St # 1
Twinsburg, OH 44087-2051

Phone 234-284-5638

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