Basic Information
Provider Information
NPI: 1558878843
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: OVERAA
FirstName: CATHRINE
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 55823
Address2:  
City: BIRMINGHAM
State: AL
PostalCode: 352555823
CountryCode: US
TelephoneNumber: 2059759925
FaxNumber: 2059759881
Practice Location
Address1: 1700 6TH AVE S
Address2:  
City: BIRMINGHAM
State: AL
PostalCode: 352331802
CountryCode: US
TelephoneNumber: 2059344680
FaxNumber: 2059343100
Other Information
ProviderEnumerationDate: 01/08/2018
LastUpdateDate: 01/08/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2080N0001XL4610ALY Allopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine

No ID Information.


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