Organization · Type 2 NPI

Covenant Medical Group

Nurse Practitioner · Saginaw, MI

NPI number 1124389846 Active

Practice location

1447 N Harrison St
Saginaw, MI 48602-4727

Fax (989) 583-2811

Specialties and licenses

Taxonomy	Code	License
Physician Assistant	363A00000X	None listed
Nurse Practitioner Primary	363L00000X	None listed

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…

303 other providers at this address

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NPI record

NPI: 1124389846
Entity type: Organization (Type 2)
Issued: May 30, 2012
Last updated: May 30, 2012
Status: Active
Subpart: Yes of Covenant Medical Center, Inc

Other names

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Covenant Midlevel Providers · other name

Authorized official

Mr. David F Albrough
Director Patient Administration
(989) 583-6011

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1124389846

Covenant Medical Group's National Provider Identifier is 1124389846, issued on May 30, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Saginaw, MI. The record was last updated on May 30, 2012.