Provider Demographics
NPI:1043431513
Name:NOVINS, ALLISON (ND)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:NOVINS
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 AVENUE D STE D103
Mailing Address - Street 2:
Mailing Address - City:SNOHOMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98290-2083
Mailing Address - Country:US
Mailing Address - Phone:360-568-2686
Mailing Address - Fax:360-862-8016
Practice Address - Street 1:1101 AVENUE D STE D103
Practice Address - Street 2:
Practice Address - City:SNOHOMISH
Practice Address - State:WA
Practice Address - Zip Code:98290-2083
Practice Address - Country:US
Practice Address - Phone:360-568-2686
Practice Address - Fax:360-862-8016
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT00001021175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath