Individual
MARYANN CATHERINE KOVALENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
140 NUTT RD, PHOENIXVILLE, PA 19460-3906
(610) 983-1000
Mailing address
68 S SERVICE RD, SUITE 350, MELVILLE, NY 11747-2354
(516) 945-3000
(516) 945-3131
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN568719
PA
Other
Enumeration date
06/26/2013
Last updated
03/26/2015
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