Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 179378 | MA |
NPI | 1013977602 |
---|---|
Provider Name | Anne E Covino |
First Address | Worcester, MA 01608-1200 |
Second Address | Worcester, MA 01608-1200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2006 |
Last Update Date | 08/06/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0328316 | (05) | MA |
S58659 | (02) | MA |