| Doctor Name: | VIVIAN NOWAZEK |
| NPI Number: | 1013376425 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD, MSN, RN, FNP-BC |
| License Number: | AP106516 |
| Business Practice Address: | 7523 Russell St Manvel, TX - 775784809 |
| Business Phone Number: | 2814898780 |
| Business Fax Number: | |
| Mailing Address: | 909 Frostwood Dr, Suite 1.100 HOUSTON |
| State: | TX |
| Postal Code: | 770242301 |
| Phone Number: | 7133385519 |
| Fax Number: | |
| NPI Enumeration Date: | 02/12/2016 |
| NPI Last Update Date: | 02/16/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SC0200X |
| License Number: | AP106516 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Critical Care Medicine |
| Taxonomy Definition: | |