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NPI Code Detail

MEDICARE: ANDREA RENEE COVINGTON APRN

MEDICARE: ANDREA RENEE COVINGTON APRN
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
1363LF0000XFamily Nurse PractitionerAPN0000024682TN
2363LF0000XFamily Nurse Practitioner3017570KY

General Provider Information

NPI Number : 1598231250
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA RENEE COVINGTON APRN
Provider Business Mailing Address
First Line : 1019 MAJESTIC DR STE 210
Second Line :
City : LEXINGTON
State : KY
Zip : 40513-1947
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 740 S LIMESTONE STE J107
Second Line :
City : LEXINGTON
State : KY
Zip : 40536-1947
Country : US
Telephone Number : 859-323-5603
Fax Number : 859-323-3704
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2018
Last Update Date : 12/02/2024

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Directions to “ ANDREA RENEE COVINGTON APRN” Practice Location

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