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NPI Code Detail

MEDICARE: MS. DIAN LYNN COVERT NP

MEDICARE: MS. DIAN LYNN COVERT NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner71000720AIN

General Provider Information

NPI Number : 1063496701
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DIAN LYNN COVERT NP
Provider Business Mailing Address
First Line : 1766 MAYNARD DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46227-5020
Country : US
Telephone Number : 317-784-5996
Fax Number :
Provider Business Practice Location Address
First Line : 8970 S MERIDIAN ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46217-5031
Country : US
Telephone Number : 317-882-0335
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2005
Last Update Date : 04/25/2008

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