Individual
NICHOLAS NOVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1400 E DOWNING ST, TAHLEQUAH, OK 74464-3324
(918) 456-0641
Mailing address
1224 E 29TH ST, TULSA, OK 74114-3907
(918) 713-1381
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
211723
OK
Other
Enumeration date
02/08/2023
Last updated
02/08/2023
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