Individual
DR. MARIYA A KOVALEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PHD, AGPCNP-BC
Contact information
Practice address
730 S 38TH AVE, OMAHA, NE 68105-1107
(402) 559-9600
Mailing address
985330 NEBRASKA MEDICAL CTR OFC 50113, OMAHA, NE 68198-5330
(402) 559-6548
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
92715
NE
363LG0600X
Gerontology Nurse Practitioner
Primary
113558
NE
363LP2300X
Primary Care Nurse Practitioner
113558
NE
Other
Enumeration date
12/28/2021
Last updated
12/28/2021
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