Individual
MRS. BRENDA F COVINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1108 ROSS CLARK CIR, DOTHAN, AL 36301-3022
(334) 547-8416
Mailing address
PO BOX 1928, DOTHAN, AL 36302-1928
(334) 547-8416
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
33381068
MD
363LA2200X
Adult Health Nurse Practitioner
33381068
MD
363LF0000X
Family Nurse Practitioner
Primary
1-067319
AL
363LF0000X
Family Nurse Practitioner
A003945
AR
363LG0600X
Gerontology Nurse Practitioner
33381068
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128562
—
AL
Enumeration date
05/16/2007
Last updated
10/20/2022
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