Provider Demographics
NPI:1255904306
Name:NOVAS, ALEXANDRA ISABEL
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:ISABEL
Last Name:NOVAS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:ALEXANDRA
Other - Middle Name:ISABEL
Other - Last Name:NOVAS VERAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:402 W GRACE ST
Mailing Address - Street 2:
Mailing Address - City:INVERNESS
Mailing Address - State:FL
Mailing Address - Zip Code:34452-4712
Mailing Address - Country:US
Mailing Address - Phone:352-697-3581
Mailing Address - Fax:
Practice Address - Street 1:402 W GRACE ST
Practice Address - Street 2:
Practice Address - City:INVERNESS
Practice Address - State:FL
Practice Address - Zip Code:34452-4712
Practice Address - Country:US
Practice Address - Phone:352-697-3581
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-16
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program