Provider Demographics
NPI:1922265651
Name:KOVALCHECK, PATRICIA ROSINE (NP)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:ROSINE
Last Name:KOVALCHECK
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 2343
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92659-1343
Mailing Address - Country:US
Mailing Address - Phone:949-642-1488
Mailing Address - Fax:949-631-8155
Practice Address - Street 1:1419 SUPERIOR AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663-2723
Practice Address - Country:US
Practice Address - Phone:949-650-0587
Practice Address - Fax:949-631-8155
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-20
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA271341363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care