Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 7028 | CT |
N | 363LP2300X | Nurse Practitioner - Primary Care | 7028 | CT |
NPI | 1033503230 |
---|---|
Provider Name | Allison Marie Altenburger |
First Address | Brooklyn, NY 11211-7303 |
Second Address | Brooklyn, NY 11211-7303 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2015 |
Last Update Date | 27/07/2021 |