Provider Demographics
NPI:1063489144
Name:OVERKAMP, MONICA M (ANP)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:M
Last Name:OVERKAMP
Suffix:
Gender:F
Credentials:ANP
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Mailing Address - Street 1:8170 33RD AVE S
Mailing Address - Street 2:MS21110Q
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55425-4516
Mailing Address - Country:US
Mailing Address - Phone:952-883-5375
Mailing Address - Fax:651-254-7827
Practice Address - Street 1:HEALTHPARTNERS SPECIALTY CENTER 401
Practice Address - Street 2:401 PHALEN BLVD-MAIL STOP 41103B
Practice Address - City:ST PAUL
Practice Address - State:MN
Practice Address - Zip Code:55130-5302
Practice Address - Country:US
Practice Address - Phone:651-254-7820
Practice Address - Fax:651-254-7827
Is Sole Proprietor?:No
Enumeration Date:2006-03-07
Last Update Date:2011-12-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MNR0870159363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN744219000Medicaid
MN744219000Medicaid
S28872Medicare UPIN