Individual
NANCY ANN NOVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1601 S LONE TREE RD, FLAGSTAFF, AZ 86001-6446
(928) 773-4062
Mailing address
3285 E SPARROW AVE, FLAGSTAFF, AZ 86004-7794
(928) 527-6163
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
264311
AZ
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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