Provider Demographics
NPI:1700451770
Name:OVERALL, ANNE KIRK (NBC-HWC)
Entity Type:Individual
Prefix:MS
First Name:ANNE
Middle Name:KIRK
Last Name:OVERALL
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11157 MONTCLAIR CT
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:MD
Mailing Address - Zip Code:20695-3152
Mailing Address - Country:US
Mailing Address - Phone:410-717-3565
Mailing Address - Fax:
Practice Address - Street 1:11157 MONTCLAIR CT
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:MD
Practice Address - Zip Code:20695-3152
Practice Address - Country:US
Practice Address - Phone:410-717-3565
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-23
Last Update Date:2021-05-23
Deactivation Date:
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