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NPI Code Detail

MEDICARE: ASHLEY A OVERPECK APRN

MEDICARE: ASHLEY A OVERPECK APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner11000219FL

General Provider Information

NPI Number : 1538627856
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY A OVERPECK APRN
Provider Business Mailing Address
First Line : 170 NE 2ND ST UNIT 1302
Second Line :
City : BOCA RATON
State : FL
Zip : 33429-5057
Country : US
Telephone Number : 561-739-5252
Fax Number :
Provider Business Practice Location Address
First Line : 950 SE 5TH AVE
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33483-5109
Country : US
Telephone Number : 561-500-7546
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2019
Last Update Date : 06/06/2022

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Directions to “ ASHLEY A OVERPECK APRN” Practice Location

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