Novak, Therese Ann

Novak, Therese Ann is an sole proprietor health care provider with primary practice located at 1717 Oak Park Blvd Fl 2 , Lake Charles LA 70601-8990. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Novak, Therese Ann can be contacted via phone (337) 494-4900.

Contact Information

Primary practice address
1717 Oak Park Blvd Fl 2 Lake Charles LA 70601-8990
Phone: (337) 494-4900
Fax: (337) 494-4707
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN049899 APO2313 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN049899 APO2313 Louisiana

Profile Details

NPI number 1699803361
LBN Legal business name Novak, Therese Ann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 2nd, 2007
Last updated Feb 7th, 2022 - about 2 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 1699803361 NPPES
Louisiana MEDICAID 1180157
Louisiana Other AP02313

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