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Individual

MISTY NOVAKOWSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
REGISTERED NURSE

Contact information

Practice address
981 N MILL ST, PLYMOUTH, MI 48170-1425
(734) 624-2312
Mailing address
981 N MILL ST, PLYMOUTH, MI 48170-1425
(810) 991-1630
(810) 991-1522

Taxonomy

Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
4704290684
MI
253Z00000X
In Home Supportive Care Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
802227339
PRIVATE PAY HOME HEALTH AIDE AND NURSING CARE
MI
05
87-4123790
MI
Enumeration date
09/20/2018
Last updated
03/17/2022
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