Individual
MS. PAMELA ALTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP,PHN,RN
Contact information
Practice address
9057 MARY AVE NW, SEATTLE, WA 98117-3428
(805) 276-8017
Mailing address
920 2ND AVE S, SUITE 400, MINNEAPOLIS, MN 55402-3318
(612) 659-7111
(612) 659-7101
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AP30007897
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110039977
MEDICARE RAILROAD
CA
05
—
525438
—
CA
01
—
ZZZ34679Z
BLUE CROSS
CA
05
—
ZZZ75566Z
—
CA
Enumeration date
07/27/2006
Last updated
05/15/2008
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