Individual
CORINNE ALTAMIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
1102 S PARK ST, MADISON, WI 53715-1708
(608) 263-7500
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3436-29
WI
133V00000X
Registered Dietitian
86108905
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86108905
STATE PLAN
NC
Enumeration date
02/22/2019
Last updated
03/03/2025
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