Individual provider · Type 1 NPI
Theresa Nowak, NP
Acute Care Nurse Practitioner · Fort Sam Houston, TX
NPI number
1114595436
Active
Practice location
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Mailing address
6119 Rio Olmos Pass
San Antonio, TX 78247-4454
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 8123 (MN) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1114595436
Theresa Nowak, NP's National Provider Identifier is 1114595436, issued on Jun 14, 2021. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Fort Sam Houston, TX. The record was last updated on Jun 14, 2021.