Provider Demographics
NPI:1285221721
Name:NOVIAN, KARLIE KAY (FNP-C)
Entity type:Individual
Prefix:
First Name:KARLIE
Middle Name:KAY
Last Name:NOVIAN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:7306 SW 34TH AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79121-1446
Mailing Address - Country:US
Mailing Address - Phone:806-350-3010
Mailing Address - Fax:806-350-3015
Practice Address - Street 1:7306 SW 34TH AVE STE 3
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79121-1446
Practice Address - Country:US
Practice Address - Phone:806-350-3010
Practice Address - Fax:806-350-3015
Is Sole Proprietor?:No
Enumeration Date:2020-12-30
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1018803363LF0000X, 208000000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No208000000XAllopathic & Osteopathic PhysiciansPediatrics