Individual
JENNA M ALTOBELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 9TH ST N, VIRGINIA, MN 55792-2329
(218) 741-0150
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP6707
MN
Other
Enumeration date
05/06/2019
Last updated
08/01/2019
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