Individual
KAREN NOVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11390 W THEODORE TRECKER WAY, WEST ALLIS, WI 53214-1135
(414) 928-1401
Mailing address
11390 W THEODORE TRECKER WAY, WEST ALLIS, WI 53214-1135
(414) 928-1401
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
120920
WI
163W00000X
Registered Nurse
120920-30
WI
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
120920
WI
Other
Enumeration date
02/22/2018
Last updated
04/06/2022
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