Provider Demographics
NPI:1164074639
Name:NOVAK, HANNAH N (PA-C)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:N
Last Name:NOVAK
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 PELESKY RD
Mailing Address - Street 2:
Mailing Address - City:BOSWELL
Mailing Address - State:PA
Mailing Address - Zip Code:15531-2703
Mailing Address - Country:US
Mailing Address - Phone:814-444-2465
Mailing Address - Fax:
Practice Address - Street 1:1015 FRANKLIN ST FL D
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15905-4155
Practice Address - Country:US
Practice Address - Phone:814-534-5042
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-15
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist