| NPI | 1790119824 |
|---|---|
| Former Name | AMY LYNN COVERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 1518) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R 162354 1) |
| 363L00000X Nurse Practitioner (Licence: WI 144180) | |
| 363L00000X Nurse Practitioner (Licence: OR 202008463NP-PP) | |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2024-02-22 |