Individual
MS. ANDREA NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
18697 BAGLEY RD, MIDDLEBURG HEIGHTS, OH 44130-3417
(440) 816-6246
(440) 816-6246
Mailing address
18697 BAGLEY RD, MIDDLEBURG HEIGHTS, OH 44130-3417
(440) 816-6246
(440) 816-6263
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
557827
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
COA13154
OH
367500000X
Certified Registered Nurse Anesthetist
R195339
MD
367500000X
Certified Registered Nurse Anesthetist
RN967093
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0069953
—
OH
Enumeration date
12/15/2005
Last updated
08/24/2020
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