Novak, Heather Dawn
Novak, Heather Dawn is an individual health care provider with primary practice located at 3775 Martin Way E , Olympia WA 98506-5007. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Novak, Heather Dawn can be contacted via phone (360) 236-7166.Contact Information
Primary practice address
3775 Martin Way E
Olympia WA 98506-5007
Phone: (360) 236-7166
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP60721184 | Washington |
Profile Details
| NPI number | 1629518113 |
|---|---|
| LBN Legal business name | Novak, Heather Dawn |
| Credentials | FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 2nd, 2017 |
| Last updated | Oct 27th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629518113 | NPPES |
| Washington | MEDICAID | 2076505 |
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