MELISSA Y COVENANT


Address: Po Box 120, Madison, ME 04950-0120
Phone: 2076963992

MELISSA Y COVENANT (NPI# 1194162925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194162925
Entity Type Individual
Full Name MELISSA Y COVENANT
Credential ARNP
Practice Address Po Box 120
Madison
ME 04950-0120
Mailing Address Po Box 569
Rangeley
ME 04970-0569
Practice Telephone 2076963992
Practice Fax Number 2076963974
Mailing Telephone (207) 864-2699
Mailing Fax Number 2078642969
Enumeration Date 2013-06-03
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
CNP17111 ME Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
AP60385077 WA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
600 Orondo Ave Ste 1, Wenatchee, WA 988012800 5096626000 5096644588

Office Location

Street Address PO BOX 120
City MADISON
State ME
Zip Code 04950-0120

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City MADISON
Zip Code 04950

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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