Provider Demographics
NPI:1770224685
Name:JOVIN, NOLDY (RN)
Entity Type:Individual
Prefix:MS
First Name:NOLDY
Middle Name:
Last Name:JOVIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:NOLDY
Other - Middle Name:
Other - Last Name:JOVIN-SEIDE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:54 LIVINGSTONE LN
Mailing Address - Street 2:
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02453-1604
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:54 LIVINGSTONE LN
Practice Address - Street 2:
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02453-1604
Practice Address - Country:US
Practice Address - Phone:857-250-1220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-05
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2313140163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult