Provider Demographics
NPI:1497628192
Name:NOWACKI HEALTHCARE CONSULTING PLLC
Entity type:Organization
Organization Name:NOWACKI HEALTHCARE CONSULTING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DERICK
Authorized Official - Middle Name:
Authorized Official - Last Name:NOWACKI
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:814-688-7793
Mailing Address - Street 1:3934 FOSTER ST APT B328
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15201-3271
Mailing Address - Country:US
Mailing Address - Phone:814-688-7793
Mailing Address - Fax:412-753-7627
Practice Address - Street 1:3934 FOSTER ST APT B328
Practice Address - Street 2:APT B328
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15201-3271
Practice Address - Country:US
Practice Address - Phone:814-688-7793
Practice Address - Fax:412-753-7627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-29
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care