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Individual

STEPHANIE ALTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
667 EASTLAND AVE SE, SUITE 301, WARREN, OH 44484-4503
(330) 841-4046
Mailing address
7067 TIFFANY BLVD, STE 230, YOUNGSTOWN, OH 44514-1981
(330) 758-2748
(330) 758-3282

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN.142133-COA1
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2368718
OH
Enumeration date
10/31/2006
Last updated
10/19/2016
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