Individual provider · Type 1 NPI
Nova La Marr Preval, CRNP
Primary Care Nurse Practitioner · Burtonsville, MD
NPI number
1053879429
Active
Practice location
2908 Cabin Creek Dr
Burtonsville, MD 20866-1839
Fax (414) 800-1839
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | R213039 (MD) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | R213039 (MD) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1053879429
Nova La Marr Preval, CRNP's National Provider Identifier is 1053879429, issued on Mar 5, 2019. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Burtonsville, MD. The record was last updated on Feb 16, 2023.