Provider Demographics
NPI:1215248661
Name:COVINGTON, PATRICK STEVEN (RN)
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:STEVEN
Last Name:COVINGTON
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6609 BRAMBLE AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45227-3135
Mailing Address - Country:US
Mailing Address - Phone:513-237-2956
Mailing Address - Fax:
Practice Address - Street 1:6609 BRAMBLE AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45227-3135
Practice Address - Country:US
Practice Address - Phone:513-237-2956
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-30
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH268052163W00000X, 163WC1400X, 163WG0600X, 163WP0200X, 163WP0807X, 163WP0808X, 163WP0809X, 163WX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent
No163W00000XNursing Service ProvidersRegistered Nurse
No163WC1400XNursing Service ProvidersRegistered NurseCollege Health
No163WG0600XNursing Service ProvidersRegistered NurseGerontology
No163WP0200XNursing Service ProvidersRegistered NursePediatrics
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
No163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
No163WX0800XNursing Service ProvidersRegistered NurseOrthopedic