Novak, Andrea

Novak, Andrea is an individual health care provider with primary practice located at 18697 Bagley Rd , Middleburg Heights OH 44130-3417. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Novak, Andrea can be contacted via phone (440) 816-6246.

Contact Information

Primary practice address
18697 Bagley Rd Middleburg Heights OH 44130-3417
Phone: (440) 816-6246
Fax: (440) 816-6246
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 557827 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R195339 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN967093 District of Columbia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X COA13154 Ohio

Profile Details

NPI number 1093791782
LBN Legal business name Novak, Andrea
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Aug 24th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093791782 NPPES
Ohio MEDICAID 0069953

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