Organization · NPI-2

Altegra Health Connections, LLC

Nurse Practitioner · Bismarck, ND

NPI number1457766073
StatusActive
Last updated in NPPESSep 22, 2015

Details

NPI
1457766073
Entity type
Organization (NPI-2)
Legal business name
Altegra Health Connections, LLC
Organization subpart
No
Enumeration date
Jun 23, 2014
Last updated
Sep 22, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner––Yes

Practice location

314 E Thayer Ave
Bismarck, ND 58501-4018

Phone 305-779-6070

Mailing address

1725 N Commerce Pkwy
Weston, FL 33326-3201

Phone 305-779-6070

Authorized official

Michele Haas
Cfo
3057796070

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