Altstatt, Nicole

Altstatt, Nicole is an individual health care provider with primary practice located at 4786 Banning Ave , White Bear Lake MN 55110-3264. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Altstatt, Nicole can be contacted via phone (612) 579-0597.

Contact Information

Primary practice address
4786 Banning Ave White Bear Lake MN 55110-3264
Phone: (612) 579-0597
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X CNP 4271 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP 4271 Minnesota

Profile Details

NPI number 1982077061
LBN Legal business name Altstatt, Nicole
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2015
Last updated Feb 13th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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