Individual
MRS. NICOLE SUSAN OVERBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6350 GLENWAY AVE, CINCINNATI, OH 45211-6378
(513) 347-6922
Mailing address
4685 FOREST AVE, CINCINNATI, OH 45212-3397
(513) 246-1964
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.001315RX
OH
Other
Enumeration date
11/21/2007
Last updated
07/18/2022
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