Provider Demographics
NPI:1245379916
Name:COVARRUBIAS, IRMA (RN)
Entity Type:Individual
Prefix:
First Name:IRMA
Middle Name:
Last Name:COVARRUBIAS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 COOLIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92879-1155
Mailing Address - Country:US
Mailing Address - Phone:951-506-9151
Mailing Address - Fax:
Practice Address - Street 1:1700 IOWA AVE
Practice Address - Street 2:SUITE 230
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92507-2420
Practice Address - Country:US
Practice Address - Phone:951-369-8604
Practice Address - Fax:951-715-4594
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN389779163WH1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH1000XNursing Service ProvidersRegistered NurseHospice