Coverdell, Mary Ann

Coverdell, Mary Ann is an individual health care provider with primary practice located at 7115 Greenback Ln Fl 2, Citrus Heights CA 95621-6133. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Coverdell, Mary Ann can be contacted via phone (916) 536-3620.

Contact Information

Primary practice address
7115 Greenback Ln Fl 2 Citrus Heights CA 95621-6133
Phone: (916) 536-3620
Fax: (916) 536-3541
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 18626 California

Profile Details

NPI number 1609050681
LBN Legal business name Coverdell, Mary Ann
Credentials RN APN
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2007
Last updated Mar 16th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609050681 NPPES
California MEDICAID 160905681

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