Heaven Covill
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Superior, WI
NPI 1144905720 · NPPES record last updated Jun 20, 2023
Key facts
- NPI
- 1144905720
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 716 Clough Ave
Superior, WI 54880-1332 - Phone
- (218) 591-4530
- NPI assigned
- Jun 20, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
716 Clough Ave
Superior, WI 54880-1332
Mailing address
716 Clough Ave
Superior, WI 54880-1332
Phone (218) 591-4530
Other providers in Superior, WI
- Conkright Dental, LLC
- John E Conkright
- Emily Conley
- Danny Lee Correll
- Daniel John Couture
- Kathy D Cox
- Nicholas Hugh Craft
- Lesa L Dalbec
- Danielle Davis
- Susan Gail Debruyne
All providers in Superior, WI · Student in an Organized Health Care Education/Training Program in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.