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AMELIA ANN COVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1065 SOUTHERN BLVD, BRONX, NY 10459-2417
(718) 589-2440
Mailing address
1809 SAINT PAUL ST APT 3, BALTIMORE, MD 21202-6208
(615) 830-0368

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
310910
NY
363LA2200X
Adult Health Nurse Practitioner
R214743
MD

Other

Enumeration date
07/22/2019
Last updated
09/21/2022
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