Provider Demographics
NPI:1073695268
Name:KOVACS, BARBARA ANN (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:ANN
Last Name:KOVACS
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6640 PARKDALE PL STE R
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46254-4698
Mailing Address - Country:US
Mailing Address - Phone:317-290-2000
Mailing Address - Fax:317-290-2011
Practice Address - Street 1:6640 PARKDALE PL STE R
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46254-4698
Practice Address - Country:US
Practice Address - Phone:317-290-2000
Practice Address - Fax:317-290-2011
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2019-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71001620363LF0000X
IN71001620A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200452800Medicaid
IN000000386020OtherBLUE CROSS BLUE SHIELD
P98636Medicare UPIN