Individual
BRITTANY R NOWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3307 W 96TH ST, INDIANAPOLIS, IN 46268-1106
(317) 876-3699
(317) 674-0059
Mailing address
313 W WOLF POINT PLZ UNIT 5402, CHICAGO, IL 60654-8916
(765) 894-1144
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
28188947A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71010009A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71010009A
LICENSE NO.
IN
Enumeration date
04/12/2011
Last updated
10/01/2024
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