Provider Demographics
NPI:1891806352
Name:NOVAK, RENEE LYNN (ARNP)
Entity type:Individual
Prefix:
First Name:RENEE
Middle Name:LYNN
Last Name:NOVAK
Suffix:
Gender:
Credentials:ARNP
Other - Prefix:
Other - First Name:RENEE
Other - Middle Name:LYNN
Other - Last Name:SCHMIEDL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8470 ENTERPRISE CIR STE 300
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD RANCH
Mailing Address - State:FL
Mailing Address - Zip Code:34202-4105
Mailing Address - Country:US
Mailing Address - Phone:941-725-2342
Mailing Address - Fax:
Practice Address - Street 1:8470 ENTERPRISE CIR STE 300
Practice Address - Street 2:
Practice Address - City:LAKEWOOD RANCH
Practice Address - State:FL
Practice Address - Zip Code:34202-4105
Practice Address - Country:US
Practice Address - Phone:941-725-2342
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3292132363LF0000X, 363LP0808X
WAAP61116967363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL3292132OtherAPRN
AZ318357OtherAPRN
WAAP61116967OtherAPRN