Provider Demographics
NPI:1902487713
Name:NOVINSKY, VERONICA (PMHNP-BC, RN-BSN)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:NOVINSKY
Suffix:
Gender:F
Credentials:PMHNP-BC, RN-BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1519 1/2 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501-4642
Mailing Address - Country:US
Mailing Address - Phone:970-683-9648
Mailing Address - Fax:
Practice Address - Street 1:1519 1/2 MAIN ST
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-4642
Practice Address - Country:US
Practice Address - Phone:970-683-9648
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-14
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0996447-NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health