Individual
ALTA MANESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
331 SUMMIT AVE, HACKENSACK, NJ 07601
(201) 488-0408
Mailing address
331 SUMMIT AVE, HACKENSACK, NJ 07601-1429
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00517600
NJ
Other
Enumeration date
05/03/2013
Last updated
05/05/2025
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