Healthcare Provider Details

I. General information

NPI: 1215248661
Provider Name (Legal Business Name): PATRICK STEVEN COVINGTON RN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2010
Last Update Date: 06/30/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6609 BRAMBLE AVE
CINCINNATI OH
45227-3135
US

IV. Provider business mailing address

6609 BRAMBLE AVE
CINCINNATI OH
45227-3135
US

V. Phone/Fax

Practice location:
  • Phone: 513-237-2956
  • Fax:
Mailing address:
  • Phone: 513-237-2956
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number268052
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163WC1400X
TaxonomyCollege Health Registered Nurse
License Number268052
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code163WG0600X
TaxonomyGerontology Registered Nurse
License Number268052
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number268052
License Number StateOH
# 5
Primary TaxonomyY
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License Number268052
License Number StateOH
# 6
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number268052
License Number StateOH
# 7
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number268052
License Number StateOH
# 8
Primary TaxonomyN
Taxonomy Code163WX0800X
TaxonomyOrthopedic Registered Nurse
License Number268052
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: