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NPI Code Detail

MEDICARE: ALPINE MANAGEMENT ENTERPRISES INC.

MEDICARE: ALPINE MANAGEMENT ENTERPRISES INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251B00000XCase Management Agency
2363LP0808XPsychiatric/Mental Health Nurse Practitioner
3251E00000XHome Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
16508546088OTHERLEGACY NUMBERS

General Provider Information

NPI Number : 1194234351
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALPINE MANAGEMENT ENTERPRISES INC.
Provider Business Mailing Address
First Line : 9245 LAGUNA SPRINGS DR STE 200
Second Line :
City : ELK GROVE
State : CA
Zip : 95758-7991
Country : US
Telephone Number : 916-713-7071
Fax Number :
Provider Business Practice Location Address
First Line : 2368 MARITIME DR
Second Line :
City : ELK GROVE
State : CA
Zip : 95758-3652
Country : US
Telephone Number : 916-312-6001
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : AMANDA MOORE
Credential : PMHNP-BC
Telephone Number : 916-713-7071
Provider Enumeration Date : 09/20/2017
Last Update Date : 04/07/2026

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Directions to “ALPINE MANAGEMENT ENTERPRISES INC. ” Practice Location

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