Individual
DIANE R NOVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
204 AMY ST, HARRISONVILLE, MO 64701-3958
(816) 560-8533
Mailing address
204 AMY ST, HARRISONVILLE, MO 64701-3958
(816) 560-8533
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2018009891
MO
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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