Organization
ALTUM PSYCHIATRIC SERVICES, PLLC
Active
Other names
Altum Psych
Organization subpart
No
Provider details
NPI number
Authorized official
CYMANDE BAXTER-ROGERS APRN (CEO)
(352) 226-3803
Entity
Organization
Contact information
Practice address
1 BRIDGE ST STE 210, PLYMOUTH, NH 03264-1623
(352) 226-3803
Mailing address
1 BRIDGE ST STE 210, PLYMOUTH, NH 03264-1623
(352) 226-3803
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
07475223
NH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
07475223
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306591000
—
FL
Enumeration date
11/01/2017
Last updated
11/25/2017
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