Individual
BROOK PAYNE NOWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, MSN, NNP-BC
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-2676
Mailing address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-2676
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
16392
TN
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
5009709
NC
Other
Enumeration date
01/09/2012
Last updated
10/27/2020
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