Individual
MRS. GINA L. NOVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
409 N CAROLINE ST, BALTIMORE, MD 21231-1003
(410) 614-6189
(410) 955-0729
Mailing address
409 N CAROLINE ST, BALTIMORE, MD 21231-1003
(410) 614-6189
(410) 955-0729
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RO91467
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027536100
—
MD
01
—
RO91467
LICENSE
MD
Enumeration date
02/08/2007
Last updated
02/01/2010
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