Doctor Name: | MS. KATHY O COVERT |
NPI Number: | 1033112859 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN-C |
License Number: | |
Business Practice Address: | 254 Easton Ave New Brunswick, NJ - 089011766 |
Business Phone Number: | 7327458600 |
Business Fax Number: | 7324480339 |
Mailing Address: | 14 Whalen St, MANVILLE |
State: | NJ |
Postal Code: | 088352243 |
Phone Number: | 7327458590 |
Fax Number: | 7324480339 |
NPI Enumeration Date: | 05/24/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |