| NPI | 1801382494 |
|---|---|
| Other Name | MIKE NOWAK |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95009174) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60149798) |
| 163W00000X Registered Nurse (Licence: CA 95164925) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60864126) | |
| Enumeration Date | 2018-07-06 |
| Last Update Date | 2018-07-06 |