Provider Demographics
NPI:1598997181
Name:OVERTURF, ANDREA LACHELLE (LPN)
Entity Type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:LACHELLE
Last Name:OVERTURF
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:143 CURLY SMART CIR
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-1300
Mailing Address - Country:US
Mailing Address - Phone:740-368-8398
Mailing Address - Fax:
Practice Address - Street 1:143 CURLY SMART CIR
Practice Address - Street 2:
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-1300
Practice Address - Country:US
Practice Address - Phone:740-368-8398
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-14
Last Update Date:2009-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN 106600 MEDS164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse