Healthcare Provider Details

I. General information

NPI: 1760959449
Provider Name (Legal Business Name): ALLISON NOVAK MSN, CRNP, WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALLISON CRAMER

II. Dates (important events)

Enumeration Date: 10/31/2018
Last Update Date: 11/02/2023
Certification Date: 11/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 COMMERCE BLVD
STROUDSBURG PA
18360-6214
US

IV. Provider business mailing address

226 COOLBAUGH RD
EAST STROUDSBURG PA
18302-9548
US

V. Phone/Fax

Practice location:
  • Phone: 570-426-2700
  • Fax:
Mailing address:
  • Phone: 570-460-3576
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberSP028303
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN682959
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: