Provider Demographics
NPI:1801688148
Name:NOVIKOVA, MARINA PETROVNA
Entity type:Individual
Prefix:MRS
First Name:MARINA
Middle Name:PETROVNA
Last Name:NOVIKOVA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1130 CHESTWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89123-4846
Mailing Address - Country:US
Mailing Address - Phone:702-234-5157
Mailing Address - Fax:
Practice Address - Street 1:1130 CHESTWOOD AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89123-4846
Practice Address - Country:US
Practice Address - Phone:702-234-5157
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter