Individual provider · Type 1 NPI

Tracy Len Novak, AGACNP

Family Nurse Practitioner · Michigan City, IN

NPI number 1477095156 Active

Practice location

8733 W 400 N
Michigan City, IN 46360-9330

Fax (219) 814-4620

Mailing address

PO Box 781076
Detroit, MI 48278-1076

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X71006692A (IN)

Family Nurse Practitioner: Definition to come...

16 other providers at this address

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About NPI 1477095156

Tracy Len Novak, AGACNP's National Provider Identifier is 1477095156, issued on Nov 10, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Michigan City, IN. The record was last updated on Aug 14, 2023.