Provider Demographics
NPI:1306667431
Name:COVINGTON, AMBER
Entity type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:
Last Name:COVINGTON
Suffix:
Gender:F
Credentials:
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 193
Mailing Address - Street 2:
Mailing Address - City:SWINK
Mailing Address - State:CO
Mailing Address - Zip Code:81077-0193
Mailing Address - Country:US
Mailing Address - Phone:719-469-3836
Mailing Address - Fax:
Practice Address - Street 1:606 HOLLY AVE
Practice Address - Street 2:
Practice Address - City:SWINK
Practice Address - State:CO
Practice Address - Zip Code:81077-5025
Practice Address - Country:US
Practice Address - Phone:719-469-3836
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-21
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN.1640725163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse