Individual
AMANDA OVERBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1 TIGER DR, SLIDELL, LA 70458-2046
(985) 643-2992
Mailing address
1 TIGER DR, SLIDELL, LA 70458-2046
(985) 643-2992
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
107135
LA
163WS0200X
School Registered Nurse
Primary
107135
LA
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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