Individual provider · Type 1 NPI

Mariya A. Kovaleva, RN, PhD, AGPCNP-BC

Gerontology Nurse Practitioner · Omaha, NE

NPI number 1275293540 Active

Practice location

730 S 38th Ave
Omaha, NE 68105-1107

Mailing address

985330 Nebraska Medical Ctr Ofc 50113
Omaha, NE 68198-5330

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X92715 (NE)
Primary Care Nurse Practitioner 363LP2300X113558 (NE)
Gerontology Nurse Practitioner Primary 363LG0600X113558 (NE)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1275293540

Mariya A. Kovaleva, RN, PhD, AGPCNP-BC's National Provider Identifier is 1275293540, issued on Dec 28, 2021. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Omaha, NE. The record was last updated on Dec 28, 2021.