| Doctor Name: | MARYANN OVERTON |
| NPI Number: | 1003033549 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CCP |
| License Number: | 770067 |
| Business Practice Address: | 10743 S Blaney Ave Cupertino, CA - 950144543 |
| Business Phone Number: | 4082554018 |
| Business Fax Number: | 6506159995 |
| Mailing Address: | 10743 S Blaney Ave, CUPERTINO |
| State: | CA |
| Postal Code: | 950144543 |
| Phone Number: | 4082554018 |
| Fax Number: | 6506159995 |
| NPI Enumeration Date: | 04/19/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 242T00000X |
| License Number: | 770067 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Perfusionist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient |