Individual
REBECCA ANNE MARIE NOWACKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
701 SUPERIOR AVE STE J, MUNSTER, IN 46321-4038
(219) 934-9796
(219) 934-4075
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(131) 752-8480
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
N360841509
WA
363LF0000X
Family Nurse Practitioner
Primary
71010798A
IN
363LF0000X
Family Nurse Practitioner
N360841509
WA
Other
Enumeration date
02/27/2018
Last updated
03/18/2021
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