Individual
MICHELLE D NOWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6610 WILLOW PARK DR STE 101, NAPLES, FL 34109-9014
(239) 649-3307
(239) 254-1782
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
(239) 599-2612
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN9384792
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013515700
—
FL
Enumeration date
10/16/2012
Last updated
11/07/2022
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