Healthcare Provider Details

I. General information

NPI: 1447176466
Provider Name (Legal Business Name): MEAGHAN RENE COVAL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4265 5TH AVE N APT 204
GRAND FORKS ND
58203-1914
US

IV. Provider business mailing address

4265 5TH AVE N APT 204
GRAND FORKS ND
58203-1914
US

V. Phone/Fax

Practice location:
  • Phone: 701-219-1537
  • Fax:
Mailing address:
  • Phone: 701-219-1537
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: