NPI Profile for Dr MARIYA A KOVALEVA in OMAHA, NE.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Gerontology |
363LG0600X | 50 | Nurse Practitioner | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner | |
Registered Nurse |
163W00000X |
| NPI # | 1275293540 |
|
| Status | Active | |
| Credentials | RN, PHD, AGPCNP-BC | |
| Entity | Individual | |
| Enumeration date | 12/28/2021 | |
| Last updated | 12/28/2021 - About 4 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MARIYA A KOVALEVA
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