Individual provider · Type 1 NPI
Macon Overton Iii, NP
Critical Care Pediatric Nurse Practitioner · Huntsville, AL
NPI number
1962974147
Active
Practice location
245 Governors Dr SE
Huntsville, AL 35801-2700
Mailing address
137 Danika Dr NW
Huntsville, AL 35806-4119
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Pediatric Nurse Practitioner Primary | 363LP0222X | 1-171815 (AL) |
Critical Care Pediatric Nurse Practitioner: Definition to come...
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About NPI 1962974147
Macon Overton Iii, NP's National Provider Identifier is 1962974147, issued on Dec 28, 2018. The primary taxonomy on file is Critical Care Pediatric Nurse Practitioner (363LP0222X), and the practice location is in Huntsville, AL. The record was last updated on Dec 28, 2018.