Provider Demographics
NPI:1235971011
Name:OVERMAN HEALTH AND WELLNESS, LLC
Entity type:Organization
Organization Name:OVERMAN HEALTH AND WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ARNP, FNP-C
Authorized Official - Prefix:
Authorized Official - First Name:MELODY
Authorized Official - Middle Name:
Authorized Official - Last Name:KERN
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP, FNP-C
Authorized Official - Phone:319-961-1771
Mailing Address - Street 1:715 W 1ST ST STE 2
Mailing Address - Street 2:
Mailing Address - City:CEDAR FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50613-2617
Mailing Address - Country:US
Mailing Address - Phone:319-961-1771
Mailing Address - Fax:319-575-6059
Practice Address - Street 1:715 W 1ST ST STE 2
Practice Address - Street 2:
Practice Address - City:CEDAR FALLS
Practice Address - State:IA
Practice Address - Zip Code:50613-2617
Practice Address - Country:US
Practice Address - Phone:319-961-1771
Practice Address - Fax:319-575-6059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-11
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty