Individual
DESERENE LIN OVERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP- BC
Contact information
Practice address
9 LAKEVIEW DR # 952, FORT MONTGOMERY, NY 10922-7731
(914) 752-8354
Mailing address
9 LAKEVIEW DR # 952, FORT MONTGOMERY, NY 10922-7731
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
352396
NY
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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