Organization
PONY EXPRESS PEDIATRICS, LLC
Active
Parent organization
PONY EXPRESS PEDIATRICS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PONY EXPRESS PEDIATRICS, LLC
Authorized official
CHRISTA JAYLEEN KOVACHEVICH APRN (OWNER/APRN CPNP-PC)
(321) 313-3595
Entity
Organization
Contact information
Practice address
1307 CROOK AVE, CHEYENNE, WY 82001-5412
(321) 313-3595
Mailing address
2076 PAINTED SKY RD, CHEYENNE, WY 82009-9196
(321) 313-3595
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016218600
—
FL
Enumeration date
08/08/2019
Last updated
08/08/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us