Nicole Novak

NPI 1417322132 · on the registry since 2015

Practice

Address: 2565 Judge Fran Jamieson Way
Viera, FL 32940
Phone: (321) 639-5894
Organisation at this address: Cms Rockledge
Banta Therapy Incorporated
Community Access To Child Health Of Brevard, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 57

Registry record

Primary taxonomy: 163W00000X
163W00000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2016-02-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida