Provider Demographics
NPI:1699287946
Name:OVERSTREET, MEREDITH (NP)
Entity type:Individual
Prefix:MRS
First Name:MEREDITH
Middle Name:
Last Name:OVERSTREET
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:MEREDITH
Other - Middle Name:J
Other - Last Name:WALSH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11350 MCCORMICK RD.
Mailing Address - Street 2:BLDG. 1 STE. 501
Mailing Address - City:HUNT VALLEY
Mailing Address - State:MD
Mailing Address - Zip Code:21031
Mailing Address - Country:US
Mailing Address - Phone:410-310-1071
Mailing Address - Fax:410-329-1054
Practice Address - Street 1:8644 SUDLEY RD STE 117
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-4425
Practice Address - Country:US
Practice Address - Phone:703-738-4375
Practice Address - Fax:703-642-1876
Is Sole Proprietor?:No
Enumeration Date:2017-10-26
Last Update Date:2019-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024175105363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology