IndividualActive
Mariya Kovaleva, RN, PHD, AGPCNP-BC
NPI 1275293540 · Gerontology Nurse Practitioner · Omaha, NE
Provider details
- NPI number
- 1275293540
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RN, PHD, AGPCNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 92715 (NE)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
730 S 38th Ave
Omaha, NE 68105-1107
Phone: (402) 559-9600
Approximate (ZIP-level) locationGet directions
Mailing address
985330 Nebraska Medical Ctr Ofc 50113
Omaha, NE 68198-5330
Registry dates
- Enumerated
- 2021-12-28
- Last updated
- 2021-12-28
- Certified
- 2021-12-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.