Individual
KAITLIN OVERFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3512 STELLHORN RD, FORT WAYNE, IN 46815-4631
(260) 483-9081
Mailing address
PO BOX 392552, PITTSBURGH, PA 15251-9552
(260) 483-9081
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28230240A
IN
363LF0000X
Family Nurse Practitioner
Primary
71010559A
IN
Other
Enumeration date
11/09/2020
Last updated
01/04/2021
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