Individual
NOREEN M NOWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
1701 N. SENATE BLVD, AG022, INDIANAPOLIS, IN 46202
(317) 962-2622
(317) 963-5424
Mailing address
950 N. MERIDIAN STREET, SUITE 500, INDIANAPOLIS, IN 46204
(317) 962-4942
(317) 962-4950
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
28088451A
IN
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
70000033A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000219612
BCBS
—
05
—
201072120
—
IN
01
—
267331000
MAGELLAN
—
Enumeration date
05/17/2006
Last updated
10/09/2012
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