Individual
MRS. AMANDA COOVERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2140 ATLAS ST, COLUMBUS, OH 43228-9647
(614) 921-7000
Mailing address
8469 SILVERBELL AVE, GALLOWAY, OH 43119-9024
(614) 921-7000
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN. 140559 M IV
OH
Other
Enumeration date
02/27/2014
Last updated
02/27/2014
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