Novotny, Nicole

Novotny, Nicole is an individual health care provider with primary practice located at 2455 Missouri Ave Suite B, Las Cruces NM 88001-5122. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Novotny, Nicole can be contacted via phone (575) 556-8440.

Contact Information

Primary practice address
2455 Missouri Ave Suite B Las Cruces NM 88001-5122
Fax: (575) 556-8439
Website:

Health care specialties

Profile Details

NPI number 1801884416
LBN Legal business name Novotny, Nicole
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2005
Last updated Apr 29th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1801884416 NPPES
New Mexico MEDICAID 87750066
New Mexico Other NM00Q517

Popular Providers