Organization
COVINGTON EXPRESS MEDICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWIN JOHN MILTENBERGER (OWNER)
(985) 222-2002
Entity
Organization
Contact information
Practice address
360 EMERALD FOREST BLVD STE H, COVINGTON, LA 70433-5193
(985) 892-3360
(985) 892-3375
Mailing address
75421 HIGHWAY 1081, COVINGTON, LA 70435-2603
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP06943
LA
Other
Enumeration date
11/02/2012
Last updated
11/02/2012
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