MAGAN THIBODAUX KOVAC


Address: 2205 Old Jeanerette Rd, New Iberia, LA 70563-8687
Phone: 3373679411

MAGAN THIBODAUX KOVAC (NPI# 1831622836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831622836
Entity Type Individual
Full Name MAGAN THIBODAUX KOVAC
Credential WHNP-BC, APRN
Practice Address 2205 Old Jeanerette Rd
New Iberia
LA 70563-8687
Practice Telephone 3373679411
Mailing Telephone 3373679411
Enumeration Date 2017-04-06
Last Update Date 2017-04-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
AP09268 LA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2205 OLD JEANERETTE RD
City NEW IBERIA
State LA
Zip Code 70563-8687

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NPI Name Taxonomy Address Enumeration
1255448973 Iberia General Hospital and Medical Center Internal Medicine 2205 Old Jeanerette Rd, New Iberia, LA 70563-8687 2006-08-25

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1851441927 Nancy Ann Schneider Nurse Practitioner 1302 Ed Broussard Road, New Iberia, LA 70563 2007-01-11
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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

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1225361827 Paulette Guidry Landry Nurse Practitioner U L Lafayette Student Health, 120 Boucher Dr., Lafayette, LA 70504-0001 2009-09-14
1467695700 Heather M Lenox Nurse Practitioner 4540 Amb Caffery Pkwy, Ste C 220, Lafayette, LA 70508-6928 2009-04-16
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Competitor

Search similar providers

City NEW IBERIA
Zip Code 70563

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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