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NPI Code Detail

MEDICARE: OLIVIA MALDONADO COVERT FNP-C

MEDICARE:   OLIVIA MALDONADO COVERT  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
1363LF0000XFamily Nurse Practitioner20879SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598298556
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLIVIA MALDONADO COVERT FNP-C
Provider Business Mailing Address
First Line : PO BOX 751649
Second Line :
City : CHARLOTTE
State : NC
Zip : 28275-1649
Country : US
Telephone Number : 888-472-0043
Fax Number : 843-724-2440
Provider Business Practice Location Address
First Line : 897 VON KOLNITZ RD STE 101
Second Line :
City : MT PLEASANT
State : SC
Zip : 29464-3630
Country : US
Telephone Number : 843-534-1770
Fax Number : 877-453-3943
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2017
Last Update Date : 04/07/2026

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Directions to “ OLIVIA MALDONADO COVERT FNP-C” Practice Location

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