Doctor Name: | MISS MARGARET MARY NOVAK |
NPI Number: | 1023374998 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 527725 |
Business Practice Address: | 1807 Water St Kerrville, TX - 780286023 |
Business Phone Number: | 8308954201 |
Business Fax Number: | 8308953985 |
Mailing Address: | 1807 Water Street, Raphael Community Free Clinic KERRVILLE |
State: | TX |
Postal Code: | 780286023 |
Phone Number: | 8308951044 |
Fax Number: | 8308953985 |
NPI Enumeration Date: | 04/05/2012 |
NPI Last Update Date: | 04/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 527725 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |