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Individual
MICHAEL BASTIEN NOWAK
Active
Individual
MICHAEL BASTIEN NOWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95164925
CA
163W00000X
Registered Nurse
RN60149798
WA
363LF0000X
Family Nurse Practitioner
Primary
95009174
CA
363LF0000X
Family Nurse Practitioner
AP60864126
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95009174
CA APRN LICENSE NUMBER
CA
01
—
95164925
CA RN LISCENSE
CA
01
—
AP60864126
WA APRN LICENSE NUMBER
WA
01
—
RN60149798
WA RN LISCENSE
WA
Enumeration date
07/06/2018
Last updated
07/06/2018
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