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SARAH A COVINGTON CRNP

Primary Care >> Clinic/Center >> Ambulatory Health Care Facilities

Registrant NPI Number: 1053662171

Individual Registrant:
 SARAH A COVINGTON CRNP
Gender: F
Sole Proprietor

Location and contact information for practice:
1608 GILMER AVE  TALLASSEE, AL 36078-2314 US
Tel: 334-782-5028  Fax: --

Contact information for business:
1608A GILMER AVE  TALLASSEE, AL 36078-2314 US
Tel: 334-283-2291  Fax: 334-283-2251

Registration Information:
NPI: 1053662171
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N261QP2300XAmbulatory Health Care Facilities
Clinic/Center
Primary Care
AL1-049268
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
AL1-049268

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
NPI 10536621711-049268AL01
NURSING LICENSE1-049268AL01




HEALTH CARE JOBS AL - Page 1



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