Individual
MS. ANDREA JORDAN ALTOMARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
110 E 2ND ST, ROYAL OAK, MI 48067-2694
(248) 546-2110
Mailing address
5600 HOBNAIL CIR, WEST BLOOMFIELD, MI 48322-1629
(734) 637-8607
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704263876
MI
176B00000X
Midwife
4704263876
MI
367A00000X
Advanced Practice Midwife
Primary
4704263876
MI
Other
Enumeration date
11/08/2012
Last updated
04/14/2023
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