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NPI Code Detail

MEDICARE: KRISTINE KOVACS RN

MEDICARE: KRISTINE KOVACS 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
1163WS0200XSchool Registered NurseRN183580AZ

General Provider Information

NPI Number : 1528476314
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTINE KOVACS RN
Provider Business Mailing Address
First Line : 5955 E TETON CIR
Second Line :
City : MESA
State : AZ
Zip : 85215-0804
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7501 E VIRGINIA AVE
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85257-1522
Country : US
Telephone Number : 480-484-6800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2014
Last Update Date : 07/24/2014

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