Basic Information
| Provider Information | |||||||||
| NPI: | 1851532527 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | COVEY | ||||||||
| FirstName: | STEPHANIE | ||||||||
| MiddleName: | I E | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | RNFA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 14825 N OUTER 40 RD | ||||||||
| Address2: | STE. 350 | ||||||||
| City: | CHESTERFIELD | ||||||||
| State: | MO | ||||||||
| PostalCode: | 630172152 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6368124300 | ||||||||
| FaxNumber: | 6368124307 | ||||||||
| Practice Location | |||||||||
| Address1: | 760 OFFICE PKWY | ||||||||
| Address2: | |||||||||
| City: | SAINT LOUIS | ||||||||
| State: | MO | ||||||||
| PostalCode: | 631417105 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3149954700 | ||||||||
| FaxNumber: | 3149954701 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/10/2009 | ||||||||
| LastUpdateDate: | 09/24/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WR0006X | 064086 | MO | Y | Nursing Service Providers | Registered Nurse | Registered Nurse First Assistant |
No ID Information.