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Individual

STEPHANIE NICOLE OVERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1025 MANCHESTER AVE, WABASH, IN 46992-1425
(260) 563-7421
(260) 563-7725
Mailing address
3702 NEW VISION DR, BLDG B, FORT WAYNE, IN 46845-1703
(260) 563-7421
(260) 563-7725

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71003726A
IN

Other

Enumeration date
10/14/2011
Last updated
06/29/2018
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