Provider Demographics
NPI:1992716245
Name:COVERT, CHERYL A (MS, RN, CS)
Entity type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:A
Last Name:COVERT
Suffix:
Gender:F
Credentials:MS, RN, CS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1044 SAINT JOHNS BAY
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55129-8537
Mailing Address - Country:US
Mailing Address - Phone:651-592-8348
Mailing Address - Fax:
Practice Address - Street 1:1044 SAINT JOHNS BAY
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55129-8537
Practice Address - Country:US
Practice Address - Phone:651-592-8348
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2011-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN0072119163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult