Individual provider · Type 1 NPI
Vitaliy Pavlovich Kovdiy
Nurse Practitioner · Burnsville, MN
Practice location
13201 E Manor Blvd
Burnsville, MN 55337-2093
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | ARNP.AP.70132652-NP (WA) |
| Family Nurse Practitioner | 363LF0000X | 13629 (MN) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1013879162
Vitaliy Pavlovich Kovdiy's National Provider Identifier is 1013879162, issued on Nov 26, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Burnsville, MN. The record was last updated on Jun 3, 2026.