Individual
NICHOLAS ADAM NOWALK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
107 FISHER POND RD, SAINT ALBANS, VT 05478-6286
(802) 393-6412
Mailing address
107 FISHER POND RD, SAINT ALBANS, VT 05478-6286
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F403591-01
NY
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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