Provider Demographics
NPI:1538627856
Name:OVERPECK, ASHLEY A (APRN)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:A
Last Name:OVERPECK
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:A
Other - Last Name:PARCINSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:170 NE 2ND ST UNIT 1302
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33429-5057
Mailing Address - Country:US
Mailing Address - Phone:561-739-5252
Mailing Address - Fax:
Practice Address - Street 1:950 SE 5TH AVE
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33483-5109
Practice Address - Country:US
Practice Address - Phone:561-500-7546
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-05
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11000219363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily