Individual
JAMES NOWACKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2300
(612) 467-3519
Mailing address
671 142ND AVE NW, ANDOVER, MN 55304-4171
(612) 467-3519
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
R216010-0
MN
Other
Enumeration date
11/14/2025
Last updated
11/14/2025
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