Individual
WENDY DIANE NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
214 W LONGVIEW DR, PORTLAND, TN 37148-1641
(615) 406-0662
(615) 325-5549
Mailing address
214 W LONGVIEW DR, PORTLAND, TN 37148-1641
(615) 406-0662
(615) 325-5549
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
68434
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163WC1500X
SUMNER COUNTY HEALTH DEPARTMENT
TN
Enumeration date
08/30/2018
Last updated
08/30/2018
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