Mrs Amanda Bruce Novak, WHNP | |
1049 North Pine Road, Hardtner Medical Center, Olla, LA 71465 | |
(318) 495-3175 | |
(318) 495-0771 |
Full Name | Mrs Amanda Bruce Novak |
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Gender | Female |
Speciality | Nurse Practitioner - Women's Health |
Location | 1049 North Pine Road, Olla, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689939746 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | AP06941 (Louisiana) | Secondary |
363LW0102X | Nurse Practitioner - Women's Health | AP06941 (Louisiana) | Primary |
Entity Name | Lasalle Parish Hospital Service District #1 |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184815466 PECOS PAC ID: 6709781545 Enrollment ID: O20040408000438 |
Entity Name | Lasalle Parish Hospital Service District #1 |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1639263189 PECOS PAC ID: 6709781545 Enrollment ID: O20110114000363 |
Mailing Address | Practice Location Address |
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Mrs Amanda Bruce Novak, WHNP 1049 North Pine Road, Hardtner Medical Center, Olla, LA 71465 Ph: (318) 495-3175 | Mrs Amanda Bruce Novak, WHNP 1049 North Pine Road, Hardtner Medical Center, Olla, LA 71465 Ph: (318) 495-3175 |
Mrs. Carmela Ann Mathews, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1102 N Pine Rd, Olla, LA 71465 Phone: 318-495-3131 | |
Dr. Laura Cummings Griffin, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1136 North Pine Rd, Olla, LA 71465 Phone: 318-495-7979 Fax: 318-795-3229 |