DEBORAH ANN NOVACK A.R.N.P. NPI 1912093204

NPI Information

NPI: 1912093204
Provider Name: DEBORAH ANN NOVACK, A.R.N.P.
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
501 6TH AVE S
PREOP
ST PETERSBURG, FL
ZIP 33701
Phone: (727) 767-4128
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Deborah Ann Novack, A.R.N.P. is a family nurse practitioner in St Petersburg, FL. Deborah Ann Novack, A.R.N.P. NPI is 1912093204. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

501 6TH AVE S
PREOP
ST PETERSBURG, FL
ZIP 33701-634
Phone: (727) 767-4128
Fax: (727) 767-8528

The enumeration date for this NPI number is 10/5/2006 and was last updated on 10/5/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	ARNP3182252	FLORIDA	No
2	363LF0000X	Nurse Practitioner	Family	ARNP3182252	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ARNP3182252	OTHER	FLORIDA	FLORIDA LICENSE
2	016841600	MEDICAID	FLORIDA
3	Y051Y	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA
4	P21713	MEDICARE UPIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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