MEDICARE: VINCENT COVEN APRN, FNP-C

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
1	363LF0000X	Family Nurse Practitioner	116343-23	NH
2	363LF0000X	Family Nurse Practitioner	APRN.CNP.026258	OH

General Provider Information

NPI Number	:	1326688961
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VINCENT COVEN APRN, FNP-C

Provider Business Mailing Address
First Line	:	6847 N CHESTNUT ST
Second Line	:
City	:	RAVENNA
State	:	OH
Zip	:	44266-3929
Country	:	US
Telephone Number	:	330-577-5881
Fax Number	:	330-839-7937

Provider Business Practice Location Address
First Line	:	6847 N CHESTNUT ST
Second Line	:
City	:	RAVENNA
State	:	OH
Zip	:	44266-3929
Country	:	US
Telephone Number	:	330-577-5881
Fax Number	:	330-839-7937

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2020
Last Update Date	:	12/09/2025

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