Healthcare Provider Details

I. General information

NPI: 1871833657
Provider Name (Legal Business Name): CHRISTINE ANGELA COVELLI RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2013
Last Update Date: 02/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

228 W RAILROAD AVE
FORT MORGAN CO
80701-2324
US

IV. Provider business mailing address

700 COLUMBINE ST
STERLING CO
80751-3728
US

V. Phone/Fax

Practice location:
  • Phone: 970-867-4918
  • Fax: 970-867-0878
Mailing address:
  • Phone: 970-522-3741
  • Fax: 970-522-1412

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License NumberRN.0178495
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: