Individual provider · Type 1 NPI

Kirk Russell Overdiek, APRN

Family Nurse Practitioner · Layton, UT

NPI number 1619160041 Active

Practice location

2084 N 1700 W, Suite A
Layton, UT 84041

Fax (801) 773-9828

Mailing address

2086 N 1700 W, Suite C
Layton, UT 84041

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X51153924405 (UT)

Family Nurse Practitioner: Definition to come...

15 other providers at this address

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About NPI 1619160041

Kirk Russell Overdiek, APRN's National Provider Identifier is 1619160041, issued on Aug 20, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Layton, UT. The record was last updated on Sep 11, 2012.