Individual
MRS. AMANDA BRUCE NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
1049 NORTH PINE ROAD, HARDTNER MEDICAL CENTER, OLLA, LA 71465
(318) 495-3175
(318) 495-0771
Mailing address
1049 NORTH PINE ROAD, HARDTNER MEDICAL CENTER, OLLA, LA 71465
(318) 495-3175
(318) 495-0771
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP06941
LA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
AP06941
LA
Other
Enumeration date
07/05/2012
Last updated
07/21/2022
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