Individual
TINA KOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
37418 EUCLID AVE APT 102, WILLOUGHBY, OH 44094-5651
(440) 487-4522
(440) 487-4522
Mailing address
7590 AUBURN ROAD, SUITE 014, ATTN: MED STAFF, CONCORD TWP., OH 44077-9176
(440) 354-1899
(440) 354-1845
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
020807
OH
Other
Enumeration date
05/24/2017
Last updated
03/03/2021
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