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Individual

TINA NOWAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
501 S BROAD ST, BREVARD, NC 28712-4044
(828) 278-0563
(828) 884-2187
Mailing address
501 S BROAD ST, BREVARD, NC 28712-4044
(828) 278-0563
(828) 884-2187

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
166540
NC

Other

Enumeration date
12/31/2009
Last updated
12/31/2009
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