Provider Demographics
NPI:1356868913
Name:COVINGTON, DIANA VANESSA (ARNP)
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:VANESSA
Last Name:COVINGTON
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 BILTMORE WAY STE 890
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-5784
Mailing Address - Country:US
Mailing Address - Phone:305-444-8585
Mailing Address - Fax:305-567-1519
Practice Address - Street 1:550 BILTMORE WAY STE 890
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-5784
Practice Address - Country:US
Practice Address - Phone:305-444-8585
Practice Address - Fax:305-567-1519
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9377680363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner