Individual
REANNE PARSON COVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10625 W NORTH AVE, WAUWATOSA, WI 53226-2315
(414) 877-5350
Mailing address
10625 W NORTH AVE STE 102, WAUWATOSA, WI 53226-2315
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1720602782
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/04/2020
Last updated
08/20/2024
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