Charles Wheeler Novak CRNP

NPI 1144405580 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1144405580
Gender Male
Enumeration Date 01/03/2008
Last Updated 11/25/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
1104 HEALTHWAY DR
SALISBURY MD, 21804-4469, US
Phone (410) 219-5483
Fax (410) 219-5486
Business Location
PO BOX 1978
SALISBURY MD, 21802-1978, US
Phone (410) 749-1015
Fax
Toxanomy
Taxonomy Code 363LA2200X
License State Maryland
License Number R119086
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According to our database, Charles Wheeler Novak CRNP NPI is 1144405580, taxonomy code is 363LA2200X and license number is R119086, license state is located at Maryland. Charles Wheeler Novak CRNP physically located at 1104 Healthway Dr, Salisbury MD, 21804-4469. NPI Number Charles Wheeler Novak CRNP has the Individual type.

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1144405580 NPI number is provided on an as is basis without warranty of any kind. 1144405580 is maintained by the National Plan & Provider Enumeration System. The contents of Charles Wheeler Novak CRNP are for informational purposes only.