Organization
ALTA SUPPORTIVE NURSING SERVICES PLLC
Active
Other names
ALTA Weight Loss and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
LENA BRANSOM APRN (OWNER)
(360) 682-9848
Entity
Organization
Contact information
Practice address
380 SE PIONEER WAY STE 201, OAK HARBOR, WA 98277-3204
(360) 682-9848
(620) 646-9813
Mailing address
316 SE PIONEER WAY STE 290, OAK HARBOR, WA 98277-5716
(360) 682-9848
(620) 646-9813
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
02/06/2025
Last updated
02/06/2025
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