Individual provider · Type 1 NPI

Mary E. Novotny

Gerontology Nurse Practitioner · Rockford, IL

NPI number 1689056285 Active

Practice location

3535 N Bell School Rd
Rockford, IL 61114-6624

Fax (779) 696-9334

Mailing address

PO Box 78866
Milwaukee, WI 53278-8866

Other practice locations

  • 1340 Charles St, Suite 100, Rockford, IL 61104 · (779) 696-8700

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X209-013360 (IL)
Registered Nurse 163W00000X041-359227 (IL)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1689056285

Mary E. Novotny's National Provider Identifier is 1689056285, issued on Jun 19, 2015. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Rockford, IL. The record was last updated on Dec 17, 2024.