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Miranda Michelle Overton
Family Nurse Practitioner in Champaign, Illinois
NPI 1952186728

Miranda Michelle Overton is a Family Nurse Practitioner based in Champaign, IL and is specialized in Family. Miranda Michelle Overton practices in Champaign, IL. The NPI Number for Miranda Michelle Overton is 1952186728 and holds a License No. 209028187 (Illinois).

The current practice location address for Miranda Michelle Overton is 1701 Curtis Rd, Champaign, IL and can be reached out via phone at 217-365-6203.

Location: 1701 Curtis Rd, Champaign, IL, 61822-9678
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952186728
Provider Name
Miranda Michelle Overton
Credential
Provider Entity Type
Individual
Gender
Female
Address
1701 Curtis Rd, Champaign, IL, 61822-9678
Phone Number
217-365-6203
Fax Number
Provider Enumeration Date
08/29/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1701 Curtis Rd
City
Champaign
State
Illinois
Zip
61822-9678
Phone Number
217-365-6203
Fax Number
person
Provider Business Mailing Address Details
Address
1701 Curtis Rd
City
Champaign
State
Illinois
Zip
61822-9678
Phone Number
217-365-6203
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209028187 (Illinois)
Definition
Definition to come...
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