Provider Demographics
NPI:1265104533
Name:KOVATSI, KAREN MARIE (APRN)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:MARIE
Last Name:KOVATSI
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 690054
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32969-0054
Mailing Address - Country:US
Mailing Address - Phone:772-877-9996
Mailing Address - Fax:
Practice Address - Street 1:2231 TIMBERLAKE CIR
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32966-4902
Practice Address - Country:US
Practice Address - Phone:772-877-9996
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-04
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11015775363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health