Individual
NICOLE A. COVARRUBIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
729 N CUSTER AVE, GRAND ISLAND, NE 68803-4311
(308) 382-9266
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2478
NE
363A00000X
Physician Assistant
PAN1701
ME
Other
Enumeration date
10/03/2017
Last updated
10/05/2020
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