Most Relevant Information
Provider Data
| NPI Number: | 1003288457 |
| Provider Name: | AMY ALTAMASH NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 4704316352 |
Most Important Dates
| Enumeration Date: | 10/26/2015 |
| Last Updated: | 10/29/2015 |
Provider Practice Location
7443 JACKMAN RD
TEMPERANCE
MI
481829223
Practice Location Phone/Fax
| Phone: | 7348500100 |
| Fax: | 7348500112 |
Provider Mailing Location
7443 JACKMAN RD
TEMPERANCE
MI
481829223
Provider Mailing Phone/Fax
| Phone: | 7348500100 |
| Fax: | 7348500112 |