Healthcare Provider Details

I. General information

NPI: 1841098563
Provider Name (Legal Business Name): JOHN OVELMAN APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2025
Last Update Date: 03/25/2025
Certification Date: 03/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

949 ELMWOOD AVE
WEST CHESTER PA
19380-1412
US

IV. Provider business mailing address

947 CEDARWOOD AVE
WEST CHESTER PA
19380-1404
US

V. Phone/Fax

Practice location:
  • Phone: 610-659-3544
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2024061528
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: