Individual
MR. ALLEN NOVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.P.R.N.
Contact information
Practice address
122 HAILI ST, HILO, HI 96720-2804
(808) 934-9071
(808) 934-9071
Mailing address
122 HAILI ST, HILO, HI 96720-2804
(808) 934-9071
(808) 934-9071
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
422-91
HI
101YM0800X
Mental Health Counselor
RN-20223
HI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN-20223
HI
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
RN-20223
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
544925
—
HI
Enumeration date
06/13/2005
Last updated
10/09/2007
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