Individual
MS. HEIDI J NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC NP MSN
Contact information
Practice address
1313 PENN AVENUE NORTH, MINNEAPOLIS, MN 55441
(612) 543-2500
(612) 302-4870
Mailing address
1313 PENN AVENUE NORTH, MINNEAPOLIS, MN 55441
(612) 543-2500
(612) 302-4870
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R0991708
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
748320100
—
MN
Enumeration date
04/18/2006
Last updated
04/24/2013
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