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Individual

JANICE L COVRIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
975 E. THIRD ST, CHATTANOOGA, TN 37403-2147
(423) 602-8400
(423) 602-8401
Mailing address
PO BOX 2930, INDIANAPOLIS, IN 46206-2930
(423) 892-5602
(423) 892-5838

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN67798
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
APN11956
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000579477A
GA
05
009807720
AL
05
1512599
TN
01
3049755
BLUE CROSS BLUE SHIELD TN
TN
01
430030838
RAILROAD MEDICARE
TN
05
8052435
NC
01
N358442
WELLCARE (GA MEDICAID)
GA
Enumeration date
12/05/2006
Last updated
09/07/2023
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