Individual
MRS. SAMANTHA FRANCES NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.P.
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 444-6544
Mailing address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN.CNP.13653
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0072279
—
OH
Enumeration date
07/31/2012
Last updated
09/26/2016
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