Individual
ALICIA E NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
221 RIVER ST, OLYPHANT, PA 18447-1475
(570) 383-3636
(570) 383-3638
Mailing address
221 RIVER ST, OLYPHANT, PA 18447-1475
(570) 383-3636
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
MN4693847
PA
363L00000X
Nurse Practitioner
SP017816
PA
363LF0000X
Family Nurse Practitioner
Primary
SP017816
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SP017816
—
PA
Enumeration date
01/22/2018
Last updated
03/31/2025
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