Novotny, Ava M

Novotny, Ava M is an individual health care provider with primary practice located at 39350 Civic Center Dr Suite # 300, Fremont CA 94538-2331. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Novotny, Ava M can be contacted via phone (228) 762-4483.

Contact Information

Primary practice address
39350 Civic Center Dr Suite # 300 Fremont CA 94538-2331
Phone: (228) 762-4483
Fax: (228) 769-0406
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1972937837
LBN Legal business name Novotny, Ava M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2013
Last updated Jan 4th, 2016 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972937837 NPPES
Mississippi Other 1110125 NCCPA CERTIFICATION

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