Individual provider · Type 1 NPI
Charles Wheeler Novak, CRNP-PMH
Psychiatric/Mental Health Nurse Practitioner · Princess Anne, MD
NPI number
1144405580
Active
Practice location
12145 Elm St
Princess Anne, MD 21853-1358
Fax (410) 651-0790
Mailing address
PO Box 1978
Salisbury, MD 21802-1978
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | R119086 (MD) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0024168080 (VA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1144405580
Charles Wheeler Novak, CRNP-PMH's National Provider Identifier is 1144405580, issued on Jan 3, 2008. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Princess Anne, MD. The record was last updated on Mar 14, 2016.