Individual
MRS. BARBARA ANN KOVACS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
6640 PARKDALE PL STE R, INDIANAPOLIS, IN 46254-4698
(317) 290-2000
(317) 290-2011
Mailing address
6640 PARKDALE PL STE R, INDIANAPOLIS, IN 46254-4698
(317) 290-2000
(317) 290-2011
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
71001620
IN
363LF0000X
Family Nurse Practitioner
Primary
71001620A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000386020
BLUE CROSS BLUE SHIELD
IN
05
—
200452800
—
IN
Enumeration date
10/19/2006
Last updated
02/06/2019
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