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Individual
DR. MARIYA A KOVALEVA
Active
Individual
DR. MARIYA A KOVALEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PHD, AGPCNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
92715
NE
363LG0600X
Gerontology Nurse Practitioner
Primary
113558
NE
363LP2300X
Primary Care Nurse Practitioner
113558
NE
Other
Enumeration date
12/28/2021
Last updated
12/28/2021
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