TRACEY L. NOVAK ARNP NP-C NPI 1154887529

NPI Information

  • NPI: 1154887529
  • Provider Name: TRACEY L. NOVAK, ARNP, NP-C
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 124 E MIRACLE STRIP PKWY STE 602
    MARY ESTHER, FL
    ZIP 32569
  • Phone: (850) 243-7035

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NPI Details

TRACEY L. NOVAK, ARNP, NP-C is a psychiatric/mental health nurse practitioner in Mary Esther, FL. TRACEY L. NOVAK, ARNP, NP-C NPI is 1154887529. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

124 E MIRACLE STRIP PKWY STE 602
MARY ESTHER, FL
ZIP 32569-991
Phone: (850) 243-7035
Fax: (850) 243-8529

The provider's authorized official is Maria Tumaneng .
The authorized official title is Assistant Manager/billing and has the following contact phone number (850) 243-7035.

The enumeration date for this NPI number is 2/11/2019 and was last updated on 2/11/2019.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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
11740305978OTHERFLORIDAINDIVIDUAL NPI

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: 3/30/2025

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