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NPI Code Detail

MEDICARE: PATRICK STEVEN COVINGTON RN

MEDICARE: PATRICK STEVEN COVINGTON RN
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
1163W00000XRegistered Nurse268052OH
2163WC1400XCollege Health Registered Nurse268052OH
3163WG0600XGerontology Registered Nurse268052OH
4163WP0200XPediatric Registered Nurse268052OH
5163WP0807XChild & Adolescent Psychiatric/Mental Health Registered Nurse268052OH
6163WP0808XPsychiatric/Mental Health Registered Nurse268052OH
7163WP0809XAdult Psychiatric/Mental Health Registered Nurse268052OH
8163WX0800XOrthopedic Registered Nurse268052OH

General Provider Information

NPI Number : 1215248661
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICK STEVEN COVINGTON RN
Provider Business Mailing Address
First Line : 6609 BRAMBLE AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45227-3135
Country : US
Telephone Number : 513-237-2956
Fax Number :
Provider Business Practice Location Address
First Line : 6609 BRAMBLE AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45227-3135
Country : US
Telephone Number : 513-237-2956
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2010
Last Update Date : 06/30/2010

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