Individual
MRS. PATRICIA RYAN ALTIMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3992 CARLISLE RD, DOVER, PA 17315-3506
(717) 851-7260
(717) 292-2879
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 851-7260
(717) 292-2879
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
VP004531G
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1559928
GATEWAY-WMG
PA
01
—
1925507
HIGHMARK BLUE SHIELD
PA
01
—
210096
JOHNS HOPKINS
PA
01
—
50065459
CAPITAL BLUE CROSS-WMG
PA
01
—
894728
CAREFIRST MD BCBS
MD
Enumeration date
10/18/2006
Last updated
01/18/2018
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