Individual
MRS. MARYANN NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
840 S BEA AVE, INVERNESS, FL 34452-3603
(352) 637-6300
(352) 637-6487
Mailing address
840 S BEA AVE, INVERNESS, FL 34452-3603
(352) 637-6300
(352) 637-6487
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
ARNP1606922
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
ARNP1606922
FL
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
ARNP1606922
FL
364SF0001X
Family Health Clinical Nurse Specialist
ARNP1606922
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034144400
—
FL
01
—
1407829666
TRICARE
FL
01
—
230722
WELLCARE
FL
Enumeration date
02/08/2006
Last updated
07/08/2012
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