Individual
MS. JANE ANTOINETTE NOVITZKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APNP, RN, NHA
Contact information
Practice address
1133 4TH AVE S, PARK FALLS, WI 54552-1922
(715) 762-4600
(715) 762-2835
Mailing address
1133 4TH AVE S, POST OFFICE BOX 110, PARK FALLS, WI 54552-1922
(715) 762-4600
(715) 762-2835
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
113 - 033
WI
363LA2200X
Adult Health Nurse Practitioner
113 - 033
WI
363LC1500X
Community Health Nurse Practitioner
113 - 033
WI
363LG0600X
Gerontology Nurse Practitioner
Primary
113 - 033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43822500
—
WI
Enumeration date
10/31/2006
Last updated
09/11/2025
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