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Individual

MS. NINA KOVALEV

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
404 CREEK CROSSING BLVD, HAINESPORT, NJ 08036-2768
(609) 845-3988
Mailing address
18 HARTLEY CT, VOORHEES, NJ 08043-4774

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00731400
NJ
363L00000X
Nurse Practitioner
SP017321
PA

Other

Enumeration date
07/15/2017
Last updated
07/15/2017
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