Provider Demographics
NPI:1053958728
Name:NOVAK, CATHERINE S (CRNP, FNP-C)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:S
Last Name:NOVAK
Suffix:
Gender:F
Credentials:CRNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 BUTTERFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15223-1515
Mailing Address - Country:US
Mailing Address - Phone:412-480-8627
Mailing Address - Fax:
Practice Address - Street 1:1 BUTTERFIELD AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15223-1515
Practice Address - Country:US
Practice Address - Phone:412-480-8627
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-02
Last Update Date:2019-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP109979363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily