Individual provider · Type 1 NPI
Larisa V. Kovaleva, NP
Acute Care Nurse Practitioner · St. Louis, MO
NPI number
1194455204
Active
Practice location
1201 S Grand Blvd
St. Louis, MO 63104-1016
Mailing address
13601 Riverway Dr Apt B
Chesterfield, MO 63017-2678
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 2021016885 (MO) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1194455204
Larisa V. Kovaleva, NP's National Provider Identifier is 1194455204, issued on Jun 13, 2022. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in St. Louis, MO. The record was last updated on Jun 13, 2022.